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CH04272A EAST CENTRAL MISSISSIPPI HEALTH CARE, INC. (Active)
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Main Details
Name
EAST CENTRAL MISSISSIPPI HEALTH CARE, INC.
Subdivision Name
WALNUT GROVE MEDICAL CLINIC
Type
HRSA-Funded Health Center
Site ID
BPS-H80-003773
340B ID
CH04272A
Grant Number
H80CS00431
Additional Details
Current Program Status
Active
Registration Date
7/1/2002
Participating Start Date
7/1/2002
Participating Approval Date
9/3/2004
Last Recertification Date
2/13/2025
Contacts
Authorizing Official
East Central MS Health Care, Inc.
JILL BISHOP, CEO
(601) 625-7140
Primary Contact
East Central MS Health Care, Inc.
Vivian Partain, Finance Director
(601) 625-7140
Addresses
Street Address
199 RIMMER STREET
WALNUT GROVE, MS 39189
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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CORRECTED ENTITY NAME, NEW FAX NUMBER, NEW CONTACT
09/03/2004
June 2025
June 2025
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