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CHC08784-30 LAKES COMMUNITY HEALTH CENTER, INC THE (Terminated)
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Main Details
Name
LAKES COMMUNITY HEALTH CENTER, INC THE
Subdivision Name
NorthLakes - Bayfield TEMP
Type
HRSA-Funded Health Center
Site ID
BPS-H80-038023
340B ID
CHC08784-30
Grant Number
H80CS08784
Additional Details
Current Program Status
Terminated
Registration Date
1/11/2024
Participating Start Date
4/1/2024
Participating Approval Date
1/16/2024
Last Recertification Date
Termination Date
Termination Reason
10/1/2024
Site closure
Contacts
Authorizing Official
The Lakes Community Health Center
Jason Akl, COO
(715) 372-5001
Primary Contact
The Lakes Community Health Center
Christine Marie Dryer, Pharmacy Director
(715) 372-5011
Addresses
Street Address
300 Manypenny Ave
Bayfield, WI 54814-2209
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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