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CH05788E WILL CO COMM HEALTH CENTER (Active)
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Main Details
Name
WILL CO COMM HEALTH CENTER
Subdivision Name
Will County Community Health Center at Will County Health Department
Type
HRSA-Funded Health Center
Site ID
BPS-H80-038181
340B ID
CH05788E
Grant Number
H80CS00476
Additional Details
Current Program Status
Active
Registration Date
4/2/2024
Participating Start Date
7/1/2024
Participating Approval Date
5/20/2024
Last Recertification Date
2/10/2025
Contacts
Authorizing Official
Will County Community Health Center
Phil Jass, Quality Risk Management Program Coordinator
(815) 774-7355
Primary Contact
Will County Community Health Center
Stacy Baumgartner, Chief Executive Officer
(815) 740-7635
Addresses
Street Address
501 Ella Ave
Joliet, IL 60433-2799
Billing Address
Will County Community Health Center
1106 Neal Street
Joliet, IL 60433
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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