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CHC26592-08 COASTAL COMMUNITY HEALTH SERVICES, INC. (Active)
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Main Details
Name
COASTAL COMMUNITY HEALTH SERVICES, INC.
Subdivision Name
CCHS Richmond Hill
Type
HRSA-Funded Health Center
Site ID
BPS-H80-037181
340B ID
CHC26592-08
Grant Number
H80CS26592
Additional Details
Current Program Status
Active
Registration Date
10/16/2023
Participating Start Date
1/1/2024
Participating Approval Date
10/18/2023
Last Recertification Date
2/19/2025
Contacts
Authorizing Official
Coastal Community Health Services
Kavanaugh Chandler, CEO
(912) 275-8028 Ext: 1139
Primary Contact
Coastal Community Health
Caitlin Shearer, Senior Program Analyst
(912) 574-5075
Addresses
Street Address
10055 Ford Ave, Ste 4A
Richmond Hill, GA 31324-3974
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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