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CHC26592-07 COASTAL COMMUNITY HEALTH SERVICES, INC. (Active)
Main Details
Name
COASTAL COMMUNITY HEALTH SERVICES, INC.
Subdivision Name
CCHS Darien
Type
HRSA-Funded Health Center
Site ID
BPS-H80-036499
340B ID
CHC26592-07
Grant Number
H80CS26592
Contacts
Authorizing Official
Coastal Community Health Services
Kavanaugh Chandler, CEO
(912) 275-8028 Ext: 1139
Primary Contact
Coastal Community Health Services, Inc.
Martina Senol, CFO
(912) 275-8028 Ext: 111
Additional Details
Current Program Status
Active
Registration Date
4/12/2023
Participating Start Date
7/1/2023
Participating Approval Date
4/13/2023
Last Recertification Date
1/29/2024
Addresses
Street Address
1022 Miller Ln SW
Darien, GA 31305-3738
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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