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FQHCLA464B SOLVERA HEALTHCARE CENTER INC (Active)
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Main Details
Name
SOLVERA HEALTHCARE CENTER INC
Subdivision Name
Solvera Health Galesburg
Type
Health Center Program Look-Alike
Site ID
BPS-LAL-038934
340B ID
FQHCLA464B
Grant Number
LALCS53029
Additional Details
Current Program Status
Active
Registration Date
8/1/2024
Participating Start Date
10/1/2024
Participating Approval Date
8/13/2024
Last Recertification Date
2/11/2025
Contacts
Authorizing Official
Solvera Healthcare Center, Inc.
Patrick Joseph Caplis, CEO
(309) 453-9052
Primary Contact
Solvera Healthcare Center Inc
Matthew Caplis, Director of Administration
(309) 922-8166
Addresses
Street Address
256 S Soangetaha Rd
Galesburg, IL 61401-5586
Billing Address
Solvera Healthcare Center Inc
PO BOX 9727
Peoria, IL 61612-9727
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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