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CH03072H EASTERN SHORE RURAL HEALTH SYSTEM, INCORPORATED (Terminated)
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Main Details
Name
EASTERN SHORE RURAL HEALTH SYSTEM, INCORPORATED
Subdivision Name
Atlantic Community Pharmacy
Type
HRSA-Funded Health Center
Site ID
BPS-H80-036420
340B ID
CH03072H
Grant Number
H80CS00791
Additional Details
Current Program Status
Terminated
Registration Date
4/3/2023
Participating Start Date
7/1/2023
Participating Approval Date
4/13/2023
Last Recertification Date
Termination Date
Termination Reason
10/1/2023
Other
Contacts
Authorizing Official
Eastern Shore Rural Health System Inc.
Jeannette Edwards, CEO-Intrim
(757) 414-0400 Ext: 1112
Primary Contact
Eastern Shore Rural Health System, Inc.
KIMBERLY Bloxom SAVAGE, CHIEF COMPLIANCE OFFICER
(757) 414-0400 Ext: 108
Addresses
Street Address
7001 Lankford Hwy
Oak Hall, VA 23416
Billing Address
Eastern Shore Rural Health System Inc.
20280 Market St
Onancock, VA 23420
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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