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FQHCLA432 White Mountain Community Health Center (Active)
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Main Details
Name
White Mountain Community Health Center
Subdivision Name
White Mountain Community Health Center
Type
Health Center Program Look-Alike
Site ID
BPS-LAL-021934
340B ID
FQHCLA432
Grant Number
LALCS31653
Additional Details
Current Program Status
Active
Registration Date
1/17/2022
Participating Start Date
4/1/2022
Participating Approval Date
3/3/2022
Last Recertification Date
2/10/2025
Contacts
Authorizing Official
white mountain community healt center
kenneth porter, executive director
(603) 443-8900
Primary Contact
White Mountain Community
julie r Hill, director of operations
(603) 447-8900
Addresses
Street Address
298 White Mountain Hwy
Conway, NH 03818-4204
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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