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CHC26514-11 TRIAD ADULT AND PEDIATRIC MEDICINE, INC. (Active)
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Main Details
Name
TRIAD ADULT AND PEDIATRIC MEDICINE, INC.
Subdivision Name
Family Medicine at Northwood
Type
HRSA-Funded Health Center
Site ID
BPS-H80-035562
340B ID
CHC26514-11
Grant Number
H80CS26514
Additional Details
Current Program Status
Active
Registration Date
10/11/2022
Participating Start Date
1/1/2023
Participating Approval Date
11/15/2022
Last Recertification Date
2/12/2025
Contacts
Authorizing Official
Triad Adult and Pediatric Medicine
Michelle Lewis, CEO
(336) 355-9715
Primary Contact
Triad Adult and Pediatric Medicine
Danielle Cole, Finance Director
(336) 355-9728
Addresses
Street Address
300 W Northwood St
Greensboro, NC 27401-1324
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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April 2025
April 2025
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