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CH045064B Kentucky Mountain Health Alliance, Inc. (Active)
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Main Details
Name
Kentucky Mountain Health Alliance, Inc.
Subdivision Name
Kentucky Mountain Health Alliance Inc.
Type
HRSA-Funded Health Center
Site ID
BPS-H80-032302
340B ID
CH045064B
Grant Number
H80CS07772
Additional Details
Current Program Status
Active
Registration Date
4/3/2023
Participating Start Date
7/1/2023
Participating Approval Date
4/3/2023
Last Recertification Date
2/11/2025
Contacts
Authorizing Official
KENTUCKY MOUNTAIN HEALTH ALLIANCE, INC.
ELLEN JEAN VANCE, EXECUTIVE DIRECTOR
(606) 487-9505 Ext: 7
Primary Contact
Kentucky Mountain Health Alliance, Inc.
Rebecca Cheek, 340b Auditor
(606) 487-9505
Addresses
Street Address
279 E Main St
Hazard, KY 41701-1973
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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