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CH05006AA COMMUNITY HEALTH PARTNERSHIP OF ILLINOIS (Active)
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Main Details
Name
COMMUNITY HEALTH PARTNERSHIP OF ILLINOIS
Subdivision Name
Mobile Medical and Dental Van 02
Type
HRSA-Funded Health Center
Site ID
BPS-H80-037253
340B ID
CH05006AA
Grant Number
H80CS00748
Additional Details
Current Program Status
Active
Registration Date
4/4/2024
Participating Start Date
7/1/2024
Participating Approval Date
5/20/2024
Last Recertification Date
2/24/2025
Contacts
Authorizing Official
Community Health Partnership of Illinois
Eleace Erica Sawyers, Chief Executive Officer
(786) 299-1724
Primary Contact
Community Health Partnership of Illinois
Robert Aguero, Vice President of Finance
(786) 299-7618
Addresses
Street Address
202 N Schuyler Ave
Kankakee, IL 60901-3865
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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