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CH04900A ROBESON HEALTH CARE CORP (Active)
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Main Details
Name
ROBESON HEALTH CARE CORP
Subdivision Name
South Robeson Medical Center - New Construction
Type
HRSA-Funded Health Center
Site ID
BPS-H80-037736
340B ID
CH04900A
Grant Number
H80CS00107
Additional Details
Current Program Status
Active
Registration Date
1/1/2003
Participating Start Date
1/1/2003
Participating Approval Date
12/30/2003
Last Recertification Date
2/19/2025
Contacts
Authorizing Official
RHCC
Al Bishop, CCO
(910) 521-2900 Ext: 1105
Primary Contact
Robeson Health Care Corporation
Colin L Lowery, Director of Pharmacy Services
(910) 823-6567
Addresses
Street Address
210 S Walnut St
Fairmont, NC 28340-1956
Billing Address
ROBESON HEALTH CARE CORPORATION
60 Commerce Plaza Cir
PEMBROKE, NC 28372
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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11/12/09 UPDATED BILL TO (WAS 1211 SOUTH WALNUT ST); 11/2/09 CONTR PHARM TERM @ ENTITY REQUEST ADDED BILL TO
01/13/2010
April 2025
April 2025
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