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CH071857H EASTERN IOWA HEALTH CENTER (Active)
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Main Details
Name
EASTERN IOWA HEALTH CENTER
Subdivision Name
Eastern Iowa Health Center - Pediatrics
Type
HRSA-Funded Health Center
Site ID
BPS-H80-018891
340B ID
CH071857H
Grant Number
H80CS08226
Additional Details
Current Program Status
Active
Registration Date
4/12/2024
Participating Start Date
7/1/2024
Participating Approval Date
5/31/2024
Last Recertification Date
2/10/2025
Contacts
Authorizing Official
Eastern Iowa Health Center
James Lock, President & CEO
(319) 730-7300
Primary Contact
Eastern Iowa Health Center
Michele Renee Davis, Director of Quality & Risk Managment
(319) 730-7300 Ext: 7388
Addresses
Street Address
1225 3rd Ave SE
Cedar Rapids, IA 52403-4009
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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