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CHC24103-13 ESPERANZA HEALTH CENTERS (Active)
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Main Details
Name
ESPERANZA HEALTH CENTERS
Subdivision Name
Esperanza at Cultivate Collective
Type
HRSA-Funded Health Center
Site ID
BPS-H80-037254
340B ID
CHC24103-13
Grant Number
H80CS24103
Additional Details
Current Program Status
Active
Registration Date
4/12/2024
Participating Start Date
7/1/2024
Participating Approval Date
6/11/2024
Last Recertification Date
2/12/2025
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
4350 S Laporte Ave
Chicago, IL 60638
Billing Address
Esperanza Health Centers
1940 S Western Ave.
Suite 205
Chicago, IL 60608
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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