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CH04415A ALBANY AREA PRIMARY HEALTH CARE, INC (Active)
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Main Details
Name
ALBANY AREA PRIMARY HEALTH CARE, INC
Subdivision Name
EDISON MEDICAL CENTER
Type
HRSA-Funded Health Center
Site ID
BPS-H80-003323
340B ID
CH04415A
Grant Number
H80CS00763
Additional Details
Current Program Status
Active
Registration Date
4/1/2003
Participating Start Date
4/1/2003
Participating Approval Date
6/4/2010
Last Recertification Date
2/18/2025
Contacts
Authorizing Official
Albany Area Primary Health Care, Inc.
Clifton Miquel Bush, Chief Operating Officer
(229) 888-6559 Ext: 6261
Primary Contact
Albany Area Primary Health Care, Inc
Susan Rakel, Director of 340B and Pharmacy Services
(229) 888-6559 Ext: 6217
Addresses
Street Address
19519 Hartford St
Edison, GA 39846
Billing Address
ALBANY AREA PRIMARY HEALTH CARE, INC
204 N. WESTOVER BLVD.
ALBANY, GA 31707-2983
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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6/4/10 UPDATED BILLING ZIP (WAS 31701);5/27/2008- UPDATED ADD. (WAS 129 W. HARTFORD STREET. 7/25/11 - Change contact from Roosevelt Brown.
07/25/2011
6/4/10 UPDATED BILLING ZIP (WAS 31701);5/27/2008- UPDATED ADD. (WAS 129 W. HARTFORD STREET
06/08/2010
May 2025
May 2025
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