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CH045064C Kentucky Mountain Health Alliance, Inc. (Active)
Main Details
Name
Kentucky Mountain Health Alliance, Inc.
Subdivision Name
Quantum Healthcare Associates, Inc.
Type
HRSA-Funded Health Center
Site ID
BPS-H80-036829
340B ID
CH045064C
Grant Number
H80CS07772
Contacts
Authorizing Official
KENTUCKY MOUNTAIN HEALTH ALLIANCE, INC.
ELLEN JEAN VANCE, EXECUTIVE DIRECTOR
(606) 487-9505 Ext: 7
Primary Contact
Cheek Consulting
Rebecca Cheek, 340b Auditor
(606) 524-1303
Additional Details
Current Program Status
Active
Registration Date
7/7/2023
Participating Start Date
10/1/2023
Participating Approval Date
7/11/2023
Last Recertification Date
1/29/2024
Addresses
Street Address
210 Black Gold Blvd
Hazard, KY 41701-2603
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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