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CH04700L HEALTH CARE PARTNERS OF SOUTH CAROLINA, INC. (Active)
Main Details
Name
HEALTH CARE PARTNERS OF SOUTH CAROLINA, INC.
Subdivision Name
Health Care Partners Mobile Dental Unit
Type
HRSA-Funded Health Center
Site ID
BPS-H80-036273
340B ID
CH04700L
Grant Number
H80CS00411
Contacts
Authorizing Official
Health Care Partners of SC
Santina Mayo, Chief Executive Officer
(843) 488-6034
Primary Contact
Health Care Partners of South Carolina, Inc. - Conway Office Pharmacy
Joseph Hamilton Odom, Director of Pharmacy
(843) 438-8399
Additional Details
Current Program Status
Active
Registration Date
7/11/2023
Participating Start Date
10/1/2023
Participating Approval Date
7/24/2023
Last Recertification Date
2/2/2024
Addresses
Street Address
145 PALMETTO POINTE ROAD
MARION, SC 29571-3572
Billing Address
HEALTH CARE PARTNERS OF SOUTH CAROLINA, INC.
1708 OAK STREET
CONWAY, SC 29526
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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