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CH04272D EAST CENTRAL MISSISSIPPI HEALTH CARE INC (Active)
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Main Details
Name
EAST CENTRAL MISSISSIPPI HEALTH CARE INC
Subdivision Name
PHILADELPHIA HEALTH CENTER
Type
HRSA-Funded Health Center
Site ID
BPS-H80-000810
340B ID
CH04272D
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
10330 ROAD 375
PHILADELPHIA, MS 39350-3249
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 CONTACT, NEW PHONE/FAX
09/03/2004
April 2025
April 2025
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