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CH045780 AMITE COUNTY MEDICAL SERVICES, INC. (Active)
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Main Details
Name
AMITE COUNTY MEDICAL SERVICES, INC.
Subdivision Name
AMITE COUNTY MEDICAL SERVICES, INC.
Type
HRSA-Funded Health Center
Site ID
BPS-H80-008973
340B ID
CH045780
Grant Number
H80CS00609
Additional Details
Current Program Status
Active
Registration Date
7/1/2002
Participating Start Date
7/1/2002
Participating Approval Date
1/22/2004
Last Recertification Date
2/12/2025
Contacts
Authorizing Official
Amite County Medical Services, Inc.
Baili Harvey, Finance Director
(601) 657-4326
Primary Contact
Amite County Medical Services, Inc.
Sally Toler, Executive Director
(601) 657-4326
Addresses
Street Address
102 WEST FREEDOM DRIVE
LIBERTY, MS 39645-0511
Billing Address
Amite County Medical Services, Inc.
P. O. Box 511
Liberty, MS 39645-0511
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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NEW ADDRESS, NEW CP ARRANGEMENT
08/12/2005
May 2025
May 2025
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