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CH06273AF MAINLINE HEALTH SYSTEMS INC (Terminated)
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Main Details
Name
MAINLINE HEALTH SYSTEMS INC
Subdivision Name
Mainline Health Women's Clinic McGehee
Type
HRSA-Funded Health Center
Site ID
BPS-H80-036689
340B ID
CH06273AF
Grant Number
H80CS00638
Additional Details
Current Program Status
Terminated
Registration Date
7/17/2023
Participating Start Date
10/1/2023
Participating Approval Date
7/19/2023
Last Recertification Date
2/12/2024
Termination Date
Termination Reason
10/1/2024
Site closure
Contacts
Authorizing Official
Mainline Health Systems
GARY ALLAN NICHOLS, Executive Director
(870) 538-5414
Primary Contact
Mainline Health Systems
Courtney Keller, PharmD
(870) 538-5414
Addresses
Street Address
206 S 1st St
Mc Gehee, AR 71654-2339
Billing Address
Mainline Health Systems, Inc.
PO Box 509
Dermott, AR 71638
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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