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CHC29834-05 PROMISE HEALTHCARE (Active)
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Main Details
Name
PROMISE HEALTHCARE
Subdivision Name
Promise Healthcare - Kirby
Type
HRSA-Funded Health Center
Site ID
BPS-H80-038183
340B ID
CHC29834-05
Grant Number
H80CS29834
Additional Details
Current Program Status
Active
Registration Date
4/3/2024
Participating Start Date
7/1/2024
Participating Approval Date
5/20/2024
Last Recertification Date
2/10/2025
Contacts
Authorizing Official
Promise Healthcare Frances Nelson Health Center
Jennifer Henry, Promise Healthcare Executive Director
(217) 403-5401
Primary Contact
Promise Healthcare
Emily McKay, Compliance Specialist and Coordinator
(217) 403-5418
Addresses
Street Address
919 West Kirby Avenue
Champaign, IL 61821-5121
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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