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CHC26592-03 Coastal Community Health Services, Inc. (Active)
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Main Details
Name
Coastal Community Health Services, Inc.
Subdivision Name
CCHS Mobile Clinic
Type
HRSA-Funded Health Center
Site ID
BPS-H80-031536
340B ID
CHC26592-03
Grant Number
H80CS26592
Additional Details
Current Program Status
Active
Registration Date
4/12/2022
Participating Start Date
7/1/2022
Participating Approval Date
4/13/2022
Last Recertification Date
2/19/2025
Contacts
Authorizing Official
Coastal Community Health Services
Kavanaugh Chandler, CEO
(912) 275-8028 Ext: 1139
Primary Contact
Coastal Community Health
Caitlin Shearer, Senior Program Analyst
(912) 574-5075
Addresses
Street Address
106 Shoppers Way Ste 1
Brunswick, GA 31525-0511
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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