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CH06373V Boston Mountain Rural Health Center, Inc. (Active)
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Main Details
Name
Boston Mountain Rural Health Center, Inc.
Subdivision Name
Boston Mountain Rural Health Center - Conway
Type
HRSA-Funded Health Center
Site ID
BPS-H80-036132
340B ID
CH06373V
Grant Number
H80CS00641
Additional Details
Current Program Status
Active
Registration Date
3/9/2023
Participating Start Date
4/1/2023
Participating Approval Date
3/13/2023
Last Recertification Date
2/10/2025
Contacts
Authorizing Official
Boston Mtn Rural Health Center, Inc.
Becky Blair, CFO
(870) 448-5733 Ext: 2008
Primary Contact
Boston Mtn Rural Health Center, Inc.
Debbie Ackerson, CEO
(870) 448-5733
Addresses
Street Address
1125 Skyline Drive
Conway, AR 72032-2857
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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