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CHC24103-15 ESPERANZA HEALTH CENTERS (Terminated)
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Main Details
Name
ESPERANZA HEALTH CENTERS
Subdivision Name
Temporary Site - Lakeshore Hotel Shelter
Type
HRSA-Funded Health Center
Site ID
BPS-H80-038495
340B ID
CHC24103-15
Grant Number
H80CS24103
Additional Details
Current Program Status
Terminated
Registration Date
4/15/2024
Participating Start Date
7/1/2024
Participating Approval Date
6/11/2024
Last Recertification Date
Termination Date
Termination Reason
1/1/2025
Site closure
Contacts
Authorizing Official
Esperanza Health Centers
Ryan Gadia, CFO
(773) 640-5792
Primary Contact
Esperanza Health Centers
Zachary Spreitzer, Director of Finance
(773) 482-1966 Ext: 4501
Addresses
Street Address
4900 S Lake Shore Dr
Chicago, IL 60615-3277
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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