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CHC24103-12 ESPERANZA HEALTH CENTERS (Active)
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Main Details
Name
ESPERANZA HEALTH CENTERS
Subdivision Name
Esperanza Brighton Park Campus Expansion
Type
HRSA-Funded Health Center
Site ID
BPS-H80-033814
340B ID
CHC24103-12
Grant Number
H80CS24103
Additional Details
Current Program Status
Active
Registration Date
1/16/2024
Participating Start Date
4/1/2024
Participating Approval Date
1/17/2024
Last Recertification Date
2/18/2025
Contacts
Authorizing Official
Esperanza Health Centers
Ryan Gadia, CFO
(773) 640-5792
Primary Contact
Esperanza Health Centers
Dan Barona, 340B Financial Analyst
(773) 584-6141
Addresses
Street Address
4720 S California Ave
Chicago, IL 60632-2016
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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April 2025
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