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CH04910L NORTH MS PRIMARY HEALTH CARE INC (Active)
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Main Details
Name
NORTH MS PRIMARY HEALTH CARE INC
Subdivision Name
Walnut Dental Center
Type
HRSA-Funded Health Center
Site ID
BPS-H80-036160
340B ID
CH04910L
Grant Number
H80CS00635
Additional Details
Current Program Status
Active
Registration Date
7/14/2023
Participating Start Date
10/1/2023
Participating Approval Date
7/20/2023
Last Recertification Date
2/11/2025
Contacts
Authorizing Official
North Mississippi Primary Health Care
Bill Stone, CEO
(662) 502-3149
Primary Contact
North Mississippi Primary Health Care, Inc.
Reeca Elliott, 340B Program Coordinator
(662) 502-3150
Addresses
Street Address
521 Main St
Walnut, MS 38683-9349
Billing Address
North Mississippi Primary Health Care, Inc.
PO Box 92
ASHLAND, MS 38603
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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May 2025
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