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CH045050 SANDHILLS MEDICAL FOUNDATION, INC. (Active)
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Main Details
Name
SANDHILLS MEDICAL FOUNDATION, INC.
Subdivision Name
SANDHILLS MEDICAL FOUNDATION Inc. - Jefferson Site
Type
HRSA-Funded Health Center
Site ID
BPS-H80-003604
340B ID
CH045050
Grant Number
H80CS00501
Additional Details
Current Program Status
Active
Registration Date
10/1/2001
Participating Start Date
10/1/2001
Participating Approval Date
2/17/2010
Last Recertification Date
2/26/2025
Contacts
Authorizing Official
Sandhills Medical Foundation, Inc
Delgado Cantave, CEO
(803) 900-6469
Primary Contact
Sandhills Medical Foundation, Inc.
Erin Rollings, DIRECTOR OF PHARMACY
(803) 438-5537
Addresses
Street Address
409 E Church St
Jefferson, SC 29718-8701
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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2/17/10 ADD SUB ENTITY NAME
02/17/2010
April 2025
April 2025
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