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CH04505J SANDHILLS MEDICAL FOUNDATON JEFFERSON (Active)
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Main Details
Name
SANDHILLS MEDICAL FOUNDATON JEFFERSON
Subdivision Name
Sandhills Medical Foundation - Pageland
Type
HRSA-Funded Health Center
Site ID
BPS-H80-036260
340B ID
CH04505J
Grant Number
H80CS00501
Additional Details
Current Program Status
Active
Registration Date
5/24/2023
Participating Start Date
6/5/2023
Participating Approval Date
6/5/2023
Last Recertification Date
2/26/2025
Contacts
Authorizing Official
Sandhills Medical Foundation, Inc
Delgado Cantave, CEO
(803) 900-6469
Primary Contact
Sandhills Medical Foundation, Inc.
Erin Rollings, DIRECTOR OF PHARMACY
(803) 438-5537
Addresses
Street Address
126 N Pearl St
Pageland, SC 29728-1925
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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May 2025
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