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CH05175L ACCESS COMMUNITY HEALTH NETWORK (Active)
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Main Details
Name
ACCESS COMMUNITY HEALTH NETWORK
Subdivision Name
ACCESS Kedzie Family Health Center
Type
HRSA-Funded Health Center
Site ID
BPS-H80-010237
340B ID
CH05175L
Grant Number
H80CS00834
Additional Details
Current Program Status
Active
Registration Date
7/1/2003
Participating Start Date
7/1/2003
Participating Approval Date
3/24/2004
Last Recertification Date
2/13/2025
Contacts
Authorizing Official
Access Community Health Network
Mahomed Ouedraogo, Chief Executive Officer
(312) 526-2360
Primary Contact
Access Community Health Network
Kenneth Pacheco, Director, Pharmacy and Lab Services
(312) 526-2107
Addresses
Street Address
3229-3243 W 47TH Place
Chicago, IL 60632-3011
Billing Address
ACCESS COMMUNITY HEALTH NETWORK
600 W Fulton St
Suite 300
CHICAGO, IL 60661
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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12/14/11 - Changed address from 3213-21 WEST 47TH PLACE and sub-name from KEDZIE PLAZA MEDICAL GROUP. 7/13/10 ADDED BILL TO;ADDED E-MAIL ADDRESS
12/14/2011
7/13/10 ADDED BILL TO; ADDED E-MAIL ADDRESS
03/24/2004
7/13/10 ADDED BILL TO; ADDED E-MAIL ADDRESS
03/24/2004
April 2025
April 2025
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