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CH04049L CURTIS V COOPER PRIMARY HEALTH CARE INC (Active)
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Main Details
Name
CURTIS V COOPER PRIMARY HEALTH CARE INC
Subdivision Name
Curtis V. Cooper Primary Health Care, Inc.
Type
HRSA-Funded Health Center
Site ID
BPS-H80-036861
340B ID
CH04049L
Grant Number
H80CS00082
Additional Details
Current Program Status
Active
Registration Date
10/12/2023
Participating Start Date
1/1/2024
Participating Approval Date
10/20/2023
Last Recertification Date
2/17/2025
Contacts
Authorizing Official
Curtis V. Cooper Primary Health Care, inc.
Albert B. Grandy JR., CEO
(912) 527-1117
Primary Contact
Curtis V. Cooper Primary Health care, Inc.
Earlene J Daniels, Chief Financial Officer
(912) 527-1088
Addresses
Street Address
244 Ledford St
Pembroke, GA 31321-4587
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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May 2025
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