340B Drug Pricing Program Database


CH0415310 BROWARD COMMUNITY AND FAMILY HEALTH CENTERS, INC (Active) - information as of 5/6/2025 11:08:16 PM

Main Details
BROWARD COMMUNITY AND FAMILY HEALTH CENTERS, INC
BROWARD COMMUNITY & FAMILY HEALTH CENTER, INC.
HRSA-Funded Health Center
BPS-H80-007706
CH0415310
H80CS00596


Additional Details
Active
10/1/2003
10/1/2003
9/29/2003
2/24/2025

Contacts

Broward Community & Family Health Centers, Inc.
ROSALYN FRAZIER, CEO
(954) 266-2999

BROWARD COMMUNITY AND FAMILY HEALTH CENTERS
BERTHOLETTE PARDIEU, DIRECTOR OF RISK MANAGEMENT
(954) 266-2999

Addresses

5010-5012 HOLLYWOOD BOULEVARD
HOLLYWOOD, FL 33021-6516

Same as Street Address


  • Comments
  • Medicaid Billing
  • Shipping Addresses
  • Contract Pharmacies
  • Grantee Sites
  • Grantee Sites Contract Pharmacies
  • History
Comments
CommentLast Updated On 
NEW SITE09/29/2003
Medicaid Billing

No
Shipping Addresses

Same as Street Address
Contract Pharmacies
Contract DetailPharmacy NameAddressAddress Cont.CityStateZip CodeApproval DateBegin DateCarve-In Effective DateTermination DateLast Updated On
Contract DetailINFINITI PHARMACY AND INFUSION SERVICES1338 NORTH FEDERAL HIGHWAY
POMPANO BEACHFL3306210/15/201501/01/2016 12/18/201701/18/2018
Contract DetailMIAMI GARDENS PHARMACY7 BARRY RD DBA-FRIENDLY DRUG & SURGICAL
WEST PARKFL33023-527104/10/201807/01/2018 07/02/201804/17/2019
Contract DetailPOMP PHARMACY LLCPOMPANO PHARMACY 60 NE 1ST ST
POMPANO BEACHFL3306004/10/201807/01/2018 06/02/201907/09/2019
Contract DetailSKYEMED PHARMACY & INFUSION SERVICESKYEMED PHARMACY & INFUSION SVCS 1332 NORTH FEDERAL HWY
POMPANO BEACHFL3306210/15/201501/01/2016 12/18/201701/18/2018
Contract DetailWAL-MART CENTRAL FILL 10-2670608 SPRING HILL DR # 3 SUITE 300
SPRINGTX7738607/18/201710/01/2017 06/02/201907/09/2019
Contract DetailWAL-MART PHARMACY 10-29622300 WEST ATLANTIC BLVD
POMPANO BEACHFL3306907/18/201710/01/2017 06/02/201907/09/2019
Contract DetailWAL-MART PHARMACY 10-36253001 NORTH STATE ROAD #7
LAUDERDALE LAKESFL3331307/18/201710/01/2017 06/02/201907/09/2019
Contract DetailWAL-MART PHARMACY 10-59979600 PARKSOUTH CT. SUITE 100
ORLANDOFL3283707/18/201710/01/2017 06/02/201907/09/2019
Contract DetailWALGREEN CO.DBA: WALGREENS #12725 2401 W ATLANTIC BLVD
POMPANO BEACHFL3306906/15/201206/15/2012 10/12/201510/12/2015
Contract DetailWALGREEN CO.DBA: WALGREENS # 01412 890 N STATE RD 7
HOLLYWOODFL3302106/15/201206/15/2012 11/01/201811/06/2018
Contract DetailWALGREEN CO.DBA: WALGREENS # 03932 1101 E ATLANTIC BLVD
POMPANO BEACHFL3306006/15/201206/15/2012  11/06/2018
Contract DetailWALGREEN CO.DBA: WALGREENS # 04120 3573 N. FEDERAL HWY
POMPANO BEACHFL3306406/15/201206/15/2012  11/06/2018
Contract DetailWALGREEN CO.DBA: WALGREENS # 04141 3099 N. STATE ROAD 7
LAUDERDALE LAKESFL33313-191306/15/201206/15/2012  11/06/2018
Contract DetailWALGREEN CO.DBA: WALGREENS # 04178 700 W. BROWARD BLVD.
FT LAUDERDALEFL3331206/15/201206/15/2012  11/06/2018
Contract DetailWALGREEN CO.DBA: WALGREENS # 04386 5999 PEMBROKE ROAD
HOLLYWOODFL3302306/15/201206/15/2012  11/06/2018
Contract DetailWALGREEN CO.DBA: WALGREENS # 04569 3895 W BROWARD BLVD
FORT LAUDERDALEFL33312-101706/15/201206/15/2012  11/06/2018
Contract DetailWALGREEN CO.DBA: WALGREENS # 04810 601 E COMMERCIAL BLVD
OAKLAND PARKFL3333408/31/201209/04/2012  11/06/2018
Contract DetailWALGREEN CO.DBA: WALGREENS # 04591 509 W HALLANDALE BEACH BLVD.
HALLANDALE BEACHFL3300908/31/201209/04/2012  11/06/2018
Contract DetailWALGREEN CO.DBA: WALGREENS #12808 1041 E HILLSBORO BLVD
DEERFIELD BEACHFL3344108/31/201209/04/2012  11/06/2018
Contract DetailWALGREEN CO.DBA: WALGREENS # 04484 8790 W. MCNAB ROAD
TAMARACFL3332108/31/201209/04/2012  11/06/2018
Contract DetailWALGREEN CO.DBA: WALGREENS # 04402 1300 E HALLANDALE BEACH BLVD
HALLANDALE BEACHFL3300908/31/201209/04/2012  11/06/2018
Contract DetailWALGREEN CO.DBA: WALGREENS # 06011 8001 MIRAMAR PKWY
MIRAMARFL33025-300408/31/201209/04/2012  11/06/2018
Contract DetailWALGREEN CO.DBA: WALGREENS # 00456 1723 E YOUNG CIRCLE
HOLLYWOODFL3302008/31/201209/04/2012  11/06/2018
Contract DetailWALGREEN CO.DBA: WALGREENS # 03525 6817 TAFT STREET
HOLLYWOODFL3302408/31/201209/04/2012  11/06/2018
Contract DetailWALGREEN CO.DBA: WALGREENS # 02443 3705 HOLLYWOOD BLVD
HOLLYWOODFL3302108/31/201209/04/2012  11/06/2018
Contract DetailWALGREEN CO.DBA: WALGREENS # 07322 2710 N UNIVERSITY DR
HOLLYWOODFL3302408/31/201209/04/2012  11/06/2018
Contract DetailWALGREEN CO.DBA: WALGREENS # 04766 9005 PINES BLVD
PEMBROKE PINESFL3302408/31/201209/04/2012  11/06/2018
Contract DetailWALGREEN CO.DBA: WALGREENS # 06402 501 E SHERIDAN ST
DANIAFL3300408/31/201209/04/2012  11/06/2018
Contract DetailWALGREEN CO.DBA: WALGREENS # 06512 6812 MIRAMAR PKWY
MIRAMARFL33023-600308/31/201209/04/2012 01/19/201801/19/2018
Contract DetailWALGREEN CO.DBA: WALGREENS # 03835 19935 NW 2ND AVE
MIAMIFL3316908/31/201209/04/2012  11/06/2018
Contract DetailWALGREEN CO.DBA: WALGREENS # 04694 6105 W SUNRISE BLVD
PLANTATIONFL3331301/09/201404/01/2014 01/19/201801/19/2018
Contract DetailWALGREEN CO.DBA: WALGREENS # 04387 2104 W OAKLAND PARK BLVD
OAKLAND PARKFL3331101/09/201404/01/2014 04/01/202404/10/2024
Contract DetailWALGREEN CO.DBA: WALGREENS # 12724 1251 SOUTH STATE ROAD 7
DAVIEFL3331701/09/201404/01/2014  11/06/2018
Contract DetailWALGREEN CO.DBA: WALGREENS # 10984 3914 W. COMMERCIAL BLVD
TAMARACFL3330901/09/201404/01/2014  11/06/2018
Contract DetailWALGREEN CO.DBA: WALGREENS #16474 8073 W OAKLAND PARK BLVD
SUNRISEFL3335101/09/201404/01/2014  11/06/2018
Contract DetailWALGREEN CO.WALGREENS #16354 1780 N. UNIVERSITY DR.
PLANTATIONFL3332201/09/201404/01/2014  11/06/2018
Contract DetailWALGREEN CO.DBA: WALGREENS #06414 3000 N STATE RD 7
MARGATEFL3306310/02/201501/01/2016  11/06/2018
Contract DetailWALGREEN CO.DBA: WALGREENS # 06416 960 S POWERLINE RD
POMPANO BEACHFL3306910/22/201501/01/2016  11/06/2018
Contract DetailWALGREEN CO.DBA WALGREENS SPECIALTY PHARMACY #15299 1201 NE 26TH ST STE 110
WILTON MANORSFL3330501/12/201604/01/2016  11/06/2018
Contract DetailWALGREEN CO.DBA WALGREENS SPECIALTY PHARMACY #13849 2540 NE 15TH AVE
WILTON MANORSFL3330501/12/201604/01/2016  11/06/2018
Contract DetailWALGREEN CO.DBA WALGREENS SPECIALTY PHARMACY #15618 871 W OAKLAND PARK BLVD STE 100
WILTON MANORSFL3331101/04/201704/01/2017  11/06/2018
Contract DetailWALGREEN CO.DBA: WALGREENS # 04769 3599 N UNIVERSITY DR
SUNRISEFL3335101/04/201704/01/2017 01/06/202001/13/2020
Contract DetailWALGREEN CO.DBA WALGREENS SPECIALTY PHARMACY #21246 168 N POWERLINE RD STE 200
POMPANO BEACHFL3306901/12/202004/01/2020  04/01/2020
Contract DetailWALGREEN CO.DBA: WALGREENS # 03002 202 SOUTH FEDERAL HWY
DANIAFL3300401/13/202204/01/2022  04/01/2022
Contract DetailWALGREEN CO.DBA: WALGREENS # 04597 1 WEST SUNRISE BLVD.
FT LAUDERDALEFL3331101/13/202204/01/2022  04/01/2022
Contract DetailWALGREEN CO.DBA: WALGREENS # 04483 6401 W COMMERCIAL BLVD.
TAMARACFL3331901/13/202204/01/2022  04/01/2022
Contract DetailWALGREEN CO.DBA: WALGREENS # 06538 1201 S FEDERAL HWY
FT LAUDERDALEFL3331601/13/202204/01/2022  04/01/2022
Contract DetailWALGREEN CO.DBA: WALGREENS # 02193 13628 W STATE RD 84
DAVIEFL33325-530101/13/202204/01/2022  04/01/2022
Contract DetailWALGREEN CO.DBA: WALGREENS # 05521 12400 PEMBROKE RD
MIRAMARFL3302701/13/202204/01/2022  04/01/2022
Contract DetailWalgreens #21395Walgreens Central Fill #21395 5710 Young Pine Rd
OrlandoFL3282910/12/202201/01/2023  01/01/2023
Contract DetailWALGREENS MAIL SERVICE, INC.  8337 S PARK CIRCLE
ORLANDOFL32819-904908/31/201209/04/2012 07/06/201507/08/2015
Contract DetailWALMART PHARMACY 10-29462500 W. BROWARD BOULEVARD
FORT LAUDERDALEFL3331207/18/201710/01/2017 06/02/201907/09/2019
Contract DetailWALMART PHARMACY 10-3163301 S STATE ROAD 7
HOLLYWOODFL3302307/18/201710/01/2017 06/02/201907/09/2019
Grantee Sites
340B ID 340B StatusSiteIdNameSub NameAddressAddress Cont.CityState
CH0415310ActiveBPS-H80-007706BROWARD COMMUNITY AND FAMILY HEALTH CENTERS, INCBROWARD COMMUNITY & FAMILY HEALTH CENTER, INC.5010-5012 HOLLYWOOD BOULEVARD HOLLYWOODFL
CH041531BActiveBPS-H80-002840BROWARD COMMUNITY AND FAMILY HEALTH CENTERS, INCBROWARD COMMUNITY AND FAMILY HEALTH CENTERS, INC.168 N Powerline Rd Pompano BeachFL
CH041531CActiveBPS-H80-035214BROWARD COMMUNITY AND FAMILY HEALTH CENTERS, INCBROWARD COMMUNITY AND FAMILY HEALTH CENTER-WEST PARK5800 WEST HALLANDALE BEACH BLVD WEST PARKFL
CH041531DActiveBPS-H80-031753BROWARD COMMUNITY AND FAMILY HEALTH CENTERS, INCBroward Community and Family Health Center - Lauderhill1295 NW 40th Ave LauderhillFL
CH041531EActiveBPS-H80-017720BROWARD COMMUNITY AND FAMILY HEALTH CENTERS, INCBROWARD COMMUNITY & FAMILY HEALTH CENTER - POMPANO DENTAL162 N. POWERLINE ROAD POMPANO BEACHFL
Grantee Sites Contract Pharmacies
340B IDPharmacy NameAddressAddress Cont.CityStateZip CodeBegin DateCarve-In Effective DateTermination Date
CH0415310INFINITI PHARMACY AND INFUSION SERVICES1338 NORTH FEDERAL HIGHWAY
POMPANO BEACHFL3306201/01/2016 12/18/2017
CH0415310MIAMI GARDENS PHARMACY7 BARRY RD DBA-FRIENDLY DRUG & SURGICAL
WEST PARKFL33023-527107/01/2018 07/02/2018
CH0415310POMP PHARMACY LLCPOMPANO PHARMACY 60 NE 1ST ST
POMPANO BEACHFL3306007/01/2018 06/02/2019
CH0415310SKYEMED PHARMACY & INFUSION SERVICESKYEMED PHARMACY & INFUSION SVCS 1332 NORTH FEDERAL HWY
POMPANO BEACHFL3306201/01/2016 12/18/2017
CH0415310WAL-MART CENTRAL FILL 10-2670608 SPRING HILL DR # 3 SUITE 300
SPRINGTX7738610/01/2017 06/02/2019
CH0415310WAL-MART PHARMACY 10-29622300 WEST ATLANTIC BLVD
POMPANO BEACHFL3306910/01/2017 06/02/2019
CH0415310WAL-MART PHARMACY 10-36253001 NORTH STATE ROAD #7
LAUDERDALE LAKESFL3331310/01/2017 06/02/2019
CH0415310WAL-MART PHARMACY 10-59979600 PARKSOUTH CT. SUITE 100
ORLANDOFL3283710/01/2017 06/02/2019
CH0415310WALGREEN CO.DBA: WALGREENS #12725 2401 W ATLANTIC BLVD
POMPANO BEACHFL3306906/15/2012 10/12/2015
CH0415310WALGREEN CO.DBA: WALGREENS # 01412 890 N STATE RD 7
HOLLYWOODFL3302106/15/2012 11/01/2018
CH0415310WALGREEN CO.DBA: WALGREENS # 03932 1101 E ATLANTIC BLVD
POMPANO BEACHFL3306006/15/2012  
CH0415310WALGREEN CO.DBA: WALGREENS # 04120 3573 N. FEDERAL HWY
POMPANO BEACHFL3306406/15/2012  
CH0415310WALGREEN CO.DBA: WALGREENS # 04141 3099 N. STATE ROAD 7
LAUDERDALE LAKESFL33313-191306/15/2012  
CH0415310WALGREEN CO.DBA: WALGREENS # 04178 700 W. BROWARD BLVD.
FT LAUDERDALEFL3331206/15/2012  
CH0415310WALGREEN CO.DBA: WALGREENS # 04386 5999 PEMBROKE ROAD
HOLLYWOODFL3302306/15/2012  
CH0415310WALGREEN CO.DBA: WALGREENS # 04569 3895 W BROWARD BLVD
FORT LAUDERDALEFL33312-101706/15/2012  
CH0415310WALGREEN CO.DBA: WALGREENS # 04810 601 E COMMERCIAL BLVD
OAKLAND PARKFL3333409/04/2012  
CH0415310WALGREEN CO.DBA: WALGREENS # 04591 509 W HALLANDALE BEACH BLVD.
HALLANDALE BEACHFL3300909/04/2012  
CH0415310WALGREEN CO.DBA: WALGREENS #12808 1041 E HILLSBORO BLVD
DEERFIELD BEACHFL3344109/04/2012  
CH0415310WALGREEN CO.DBA: WALGREENS # 04484 8790 W. MCNAB ROAD
TAMARACFL3332109/04/2012  
CH0415310WALGREEN CO.DBA: WALGREENS # 04402 1300 E HALLANDALE BEACH BLVD
HALLANDALE BEACHFL3300909/04/2012  
CH0415310WALGREEN CO.DBA: WALGREENS # 06011 8001 MIRAMAR PKWY
MIRAMARFL33025-300409/04/2012  
CH0415310WALGREEN CO.DBA: WALGREENS # 00456 1723 E YOUNG CIRCLE
HOLLYWOODFL3302009/04/2012  
CH0415310WALGREEN CO.DBA: WALGREENS # 03525 6817 TAFT STREET
HOLLYWOODFL3302409/04/2012  
CH0415310WALGREEN CO.DBA: WALGREENS # 02443 3705 HOLLYWOOD BLVD
HOLLYWOODFL3302109/04/2012  
CH0415310WALGREEN CO.DBA: WALGREENS # 07322 2710 N UNIVERSITY DR
HOLLYWOODFL3302409/04/2012  
CH0415310WALGREEN CO.DBA: WALGREENS # 04766 9005 PINES BLVD
PEMBROKE PINESFL3302409/04/2012  
CH0415310WALGREEN CO.DBA: WALGREENS # 06402 501 E SHERIDAN ST
DANIAFL3300409/04/2012  
CH0415310WALGREEN CO.DBA: WALGREENS # 06512 6812 MIRAMAR PKWY
MIRAMARFL33023-600309/04/2012 01/19/2018
CH0415310WALGREEN CO.DBA: WALGREENS # 03835 19935 NW 2ND AVE
MIAMIFL3316909/04/2012  
CH0415310WALGREEN CO.DBA: WALGREENS # 04694 6105 W SUNRISE BLVD
PLANTATIONFL3331304/01/2014 01/19/2018
CH0415310WALGREEN CO.DBA: WALGREENS # 04387 2104 W OAKLAND PARK BLVD
OAKLAND PARKFL3331104/01/2014 04/01/2024
CH0415310WALGREEN CO.DBA: WALGREENS # 12724 1251 SOUTH STATE ROAD 7
DAVIEFL3331704/01/2014  
CH0415310WALGREEN CO.DBA: WALGREENS # 10984 3914 W. COMMERCIAL BLVD
TAMARACFL3330904/01/2014  
CH0415310WALGREEN CO.DBA: WALGREENS #16474 8073 W OAKLAND PARK BLVD
SUNRISEFL3335104/01/2014  
CH0415310WALGREEN CO.WALGREENS #16354 1780 N. UNIVERSITY DR.
PLANTATIONFL3332204/01/2014  
CH0415310WALGREEN CO.DBA: WALGREENS #06414 3000 N STATE RD 7
MARGATEFL3306301/01/2016  
CH0415310WALGREEN CO.DBA: WALGREENS # 06416 960 S POWERLINE RD
POMPANO BEACHFL3306901/01/2016  
CH0415310WALGREEN CO.DBA WALGREENS SPECIALTY PHARMACY #15299 1201 NE 26TH ST STE 110
WILTON MANORSFL3330504/01/2016  
CH0415310WALGREEN CO.DBA WALGREENS SPECIALTY PHARMACY #13849 2540 NE 15TH AVE
WILTON MANORSFL3330504/01/2016  
CH0415310WALGREEN CO.DBA WALGREENS SPECIALTY PHARMACY #15618 871 W OAKLAND PARK BLVD STE 100
WILTON MANORSFL3331104/01/2017  
CH0415310WALGREEN CO.DBA: WALGREENS # 04769 3599 N UNIVERSITY DR
SUNRISEFL3335104/01/2017 01/06/2020
CH0415310WALGREEN CO.DBA WALGREENS SPECIALTY PHARMACY #21246 168 N POWERLINE RD STE 200
POMPANO BEACHFL3306904/01/2020  
CH0415310WALGREEN CO.DBA: WALGREENS # 03002 202 SOUTH FEDERAL HWY
DANIAFL3300404/01/2022  
CH0415310WALGREEN CO.DBA: WALGREENS # 04597 1 WEST SUNRISE BLVD.
FT LAUDERDALEFL3331104/01/2022  
CH0415310WALGREEN CO.DBA: WALGREENS # 04483 6401 W COMMERCIAL BLVD.
TAMARACFL3331904/01/2022  
CH0415310WALGREEN CO.DBA: WALGREENS # 06538 1201 S FEDERAL HWY
FT LAUDERDALEFL3331604/01/2022  
CH0415310WALGREEN CO.DBA: WALGREENS # 02193 13628 W STATE RD 84
DAVIEFL33325-530104/01/2022  
CH0415310WALGREEN CO.DBA: WALGREENS # 05521 12400 PEMBROKE RD
MIRAMARFL3302704/01/2022  
CH0415310Walgreens #21395Walgreens Central Fill #21395 5710 Young Pine Rd
OrlandoFL3282901/01/2023  
CH0415310WALGREENS MAIL SERVICE, INC.  8337 S PARK CIRCLE
ORLANDOFL32819-904909/04/2012 07/06/2015
CH0415310WALMART PHARMACY 10-29462500 W. BROWARD BOULEVARD
FORT LAUDERDALEFL3331210/01/2017 06/02/2019
CH0415310WALMART PHARMACY 10-3163301 S STATE ROAD 7
HOLLYWOODFL3302310/01/2017 06/02/2019
History
SectionFieldActionActivityValue BeforeValue AfterTimestamp 
DetailsLast Recertification DateUpdateRecertification2/1/2024 11:57:54 AM2/24/2025 9:54:58 AM2/24/2025 9:54 AM
DetailsLast Recertification DateUpdateRecertification2/1/2023 6:22:33 PM2/1/2024 11:57:54 AM2/1/2024 11:57 AM
DetailsLast Recertification DateUpdateRecertification2/2/2022 3:46:01 PM2/1/2023 6:22:33 PM2/1/2023 6:22 PM
DetailsLast Recertification DateUpdateRecertification2/5/2021 3:31:00 PM2/2/2022 3:46:01 PM2/2/2022 3:46 PM
DetailsLast Recertification DateUpdateRecertification1/30/2020 4:12:33 PM2/5/2021 3:31:00 PM2/5/2021 3:31 PM
DetailsLast Recertification DateUpdateRecertification1/29/2019 3:32:17 PM1/30/2020 4:12:33 PM1/30/2020 4:12 PM
ContactsPrimary ContactUpdateRecertificationPruitt, Victoria Director of Risk Managment BROWARD COMMUNITY AND FAMILY HEALTH CENTER 9542662999PARDIEU, BERTHOLETTE DIRECTOR OF RISK MANAGEMENT BROWARD COMMUNITY AND FAMILY HEALTH CENTERS 95426629991/29/2019 3:32 PM
DetailsLast Recertification DateUpdateRecertification2/15/2018 2:00:36 PM1/29/2019 3:32:17 PM1/29/2019 3:32 PM
AddressesMain AddressUpdateChange Request 5010 HOLLYWOOD BOULEVARD # 100-B HOLLYWOOD, FL 33021-6516 5010-5012 HOLLYWOOD BOULEVARD HOLLYWOOD, FL 33021-651611/6/2018 11:53 AM
DatesLast Date That 340B Drugs PurchasedUpdateOPA Cancel Termination Request11/1/2018 12:00:00 AM 11/6/2018 11:09 AM
DetailsStateUpdateOPA Cancel Termination RequestTo Be TerminatedActive11/6/2018 11:09 AM
TerminationsTermination DateUpdateOPA Cancel Termination Request1/1/2019 12:00:00 AM 11/6/2018 11:09 AM
TerminationsTermination Effective DateUpdateOPA Cancel Termination Request11/1/2018 12:00:00 AM 11/6/2018 11:09 AM
TerminationsTermination ReasonUpdateOPA Cancel Termination RequestSite closure 11/6/2018 11:09 AM
DatesLast Date That 340B Drugs PurchasedUpdateTermination Request 11/1/2018 12:00:00 AM11/6/2018 6:40 AM
DetailsStateUpdateTermination RequestActiveTo Be Terminated11/6/2018 6:40 AM
TerminationsTermination DateUpdateTermination Request 1/1/2019 12:00:00 AM11/6/2018 6:40 AM
TerminationsTermination Effective DateUpdateTermination Request 11/1/2018 12:00:00 AM11/6/2018 6:40 AM
TerminationsTermination ReasonUpdateTermination Request Site closure11/6/2018 6:40 AM
DetailsLast Recertification DateUpdateRecertification2/1/2017 12:00:00 AM2/15/2018 2:00:36 PM2/15/2018 2:00 PM
ContactsPrimary ContactUpdateRecertificationPruitt, Victoria Director of Risk Managment 9542662999Pruitt, Victoria Director of Risk Managment BROWARD COMMUNITY AND FAMILY HEALTH CENTER 95426629992/15/2018 2:00 PM
ContactsAuthorizing OfficialUpdate FRAZIER, ROSALYN CEO 9542662999FRAZIER, ROSALYN CEO Broward Community & Family Health Centers, Inc. 954266299910/2/2017 1:53 PM
ContactsAuthorizing OfficialInsert  FRAZIER, ROSALYN CEO 95426629997/18/2017 8:28 AM
AddressesMain AddressInsert   5010 HOLLYWOOD BOULEVARD # 100-B HOLLYWOOD, FL 33021-65162/1/2017 12:36 PM
ContactsPrimary ContactInsert  Pruitt, Victoria Director of Risk Managment 95426629992/1/2017 12:36 PM
DetailsLast Recertification DateUpdate 2/16/2016 12:00:00 AM2/1/2017 12:00:00 AM2/1/2017 12:36 PM
DetailsLast Recertification DateUpdate 2/10/2015 12:00:00 AM2/16/2016 12:00:00 AM2/16/2016 11:26 AM
DetailsLast Recertification DateUpdate 3/16/2014 12:00:00 AM2/10/2015 12:00:00 AM2/10/2015 3:44 PM
DetailsLast Recertification DateUpdate 4/1/2013 12:00:00 AM3/16/2014 12:00:00 AM3/16/2014 3:29 PM
DetailsEntity NameUpdate BROWARD COMM & FAMILY HEALTH CENTER, INCBROWARD COMMUNITY AND FAMILY HEALTH CENTERS, INC3/16/2014 3:29 PM
DetailsEntity SubnameUpdate  BROWARD COMMUNITY & FAMILY HEALTH CENTER, INC.3/16/2014 3:29 PM
DetailsLast Recertification DateUpdate  4/1/2013 12:00:00 AM2/6/2013 3:07 PM
DatesParticipating Approval DateUpdate 9/29/2003 1:05:55 PM9/29/2003 12:00:00 AM7/2/2012 9:44 AM
DetailsLast Recertification DateInsert   9/29/2003 1:05 PM
DetailsGrant NumberInsert  H80CS005969/29/2003 1:05 PM
Details340B IDInsert  CH04153109/29/2003 1:05 PM
DetailsIs Authorizing Official EHB DataInsert   9/29/2003 1:05 PM
DatesLast Date That 340B Drugs PurchasedInsert   9/29/2003 1:05 PM
DetailsMedicare Provider NumberInsert   9/29/2003 1:05 PM
DetailsEntity NameInsert  BROWARD COMM & FAMILY HEALTH CENTER, INC9/29/2003 1:05 PM
DetailsProgram CodeInsert  CH9/29/2003 1:05 PM
DetailsEntity SubnameInsert   9/29/2003 1:05 PM
DatesParticipating Approval DateInsert  9/29/2003 1:05:55 PM9/29/2003 1:05 PM
DetailsStateInsert  Active9/29/2003 1:05 PM
DatesRegistration DateInsert  10/1/2003 12:00:00 AM9/29/2003 1:05 PM
DatesSigned By DateInsert   9/29/2003 1:05 PM
DatesStart DateInsert  10/1/2003 12:00:00 AM9/29/2003 1:05 PM
TerminationsTermination CommentsInsert   9/29/2003 1:05 PM
TerminationsTermination DateInsert   9/29/2003 1:05 PM
TerminationsTermination Effective DateInsert   9/29/2003 1:05 PM
TerminationsTermination ReasonInsert   9/29/2003 1:05 PM
DetailsComments PublicInsert  NEW SITE9/29/2003 1:05 PM