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CH031056K JOHNSON HEALTH CENTER (Active)
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Main Details
Name
JOHNSON HEALTH CENTER
Subdivision Name
Johnson Health Center Mobile Medical Van 1
Type
HRSA-Funded Health Center
Site ID
BPS-H80-032606
340B ID
CH031056K
Grant Number
H80CS02445
Additional Details
Current Program Status
Active
Registration Date
1/3/2023
Participating Start Date
4/1/2023
Participating Approval Date
1/5/2023
Last Recertification Date
2/10/2025
Contacts
Authorizing Official
Johnson Health Center
Gary Campbell, CEO
(434) 455-2480 Ext: 1102
Primary Contact
Johnson Health Center
Tyler Harlow, Director of Pharmacy
(434) 455-3265 Ext: 1233
Addresses
Street Address
109 Clearview Rd
Madison Heights, VA 24572
Billing Address
Johnson Health Center Mobile Medical Van 1
134 Elon Rd
Madison Heights, VA 24572-2536
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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