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CH04900D ROBESON HEALTH CARE CORP (Active)
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Main Details
Name
ROBESON HEALTH CARE CORP
Subdivision Name
LUMBERTON HEALTH CENTER
Type
HRSA-Funded Health Center
Site ID
BPS-H80-000518
340B ID
CH04900D
Grant Number
H80CS00107
Additional Details
Current Program Status
Active
Registration Date
1/1/2003
Participating Start Date
1/1/2003
Participating Approval Date
3/16/2004
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
1309 East 5th Street
LUMBERTON, NC 28358
Billing Address
ROBESON HEALTH CARE CORPORATION
60 COMMERCE Plaza Circle
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; 11/10/05 UPDATED ADDR (WAS 901 N. CHESNUT STREET)
01/13/2010
April 2025
April 2025
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