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GENOA HEALTHCARE LLC
CH040940 BLUE RIDGE COMMUNITY HEALTH SERVICES, INC.
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Covered Entity Details
Entity Name
BLUE RIDGE COMMUNITY HEALTH SERVICES, INC.
Subdivision Name
BLUE RIDGE HEALTH CENTER
Type
HRSA-Funded Health Center
340B ID
CH040940
Entity Address
2579 CHIMNEY ROCK RD
HENDERSONVILLE, NC 28792
Grant Number
H80CS00650
Participating Start Date
7/1/1995
Last Recertification Date
2/13/2025
Pharmacy Details
Pharmacy Name
GENOA HEALTHCARE LLC
Pharmacy Address
4 HARBISON WAY
COLUMBIA, SC 29212
Pharmacy Comments
Contract Details
Approval Date
10/14/2024
Contract Begin Date
1/1/2025
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Richard Hudspeth, CEO
(828) 692-4289
Contract Pharmacy Representative
Optum
Avani Patel, VP, 340B Operations
(763) 330-5555
Signed By Date
10/14/2024
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