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CH04170AA COLLIER HEALTH SERVICES INC (Active)
Main Details
Name
COLLIER HEALTH SERVICES INC
Subdivision Name
Healthcare Network Cordero Pediatrics
Type
HRSA-Funded Health Center
Site ID
BPS-H80-038148
340B ID
CH04170AA
Grant Number
H80CS00735
Contacts
Authorizing Official
Collier Health Services, Inc., d/b/a Healthcare Network
John Fletcher, Chief Operating Officer & General Counsel
(239) 658-3060
Primary Contact
Collier Health Services, Inc.
Martine Woolley, Vice President of Pharmacy
(239) 658-3030
Additional Details
Current Program Status
Active
Registration Date
2/28/2024
Participating Start Date
4/1/2024
Participating Approval Date
2/29/2024
Last Recertification Date
Addresses
Street Address
1090 6th Ave N
Naples, FL 34102-5604
Billing Address
Healthcare Network
1454 Madison Ave W
Immokalee, FL 34142
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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