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CH03984C WALNUT STREET COMMUNITY HEALTH CENTER, INC (Active)
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Main Details
Name
WALNUT STREET COMMUNITY HEALTH CENTER, INC
Subdivision Name
FHH Behavioral Health Clinic - RAMPS
Type
HRSA-Funded Health Center
Site ID
BPS-H80-038158
340B ID
CH03984C
Grant Number
H80CS00857
Additional Details
Current Program Status
Active
Registration Date
4/15/2024
Participating Start Date
7/1/2024
Participating Approval Date
4/19/2024
Last Recertification Date
2/21/2025
Contacts
Authorizing Official
Walnut Street Community Health Center
David F. Becker, CFO
(301) 745-3777 Ext: 1080
Primary Contact
Walnut Street Community Health Center, Inc., DBA Family Healthcare of Hagerstown
Nicole Houser, CEO
(301) 745-3777 Ext: 1079
Addresses
Street Address
1311 Yale Dr
Hagerstown, MD 21742-6546
Billing Address
Walnut Street Community Health Center, Inc., DBA Family Healthcare of Hagerstown
201 S. Cleveland Avenue
Hagerstown, MD 21740
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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