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CH03122S NORTH PENN COMPREHENSIVE HEAL (Active)
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Main Details
Name
NORTH PENN COMPREHENSIVE HEAL
Subdivision Name
Towanda Laurel Health Center
Type
HRSA-Funded Health Center
Site ID
BPS-H80-038892
340B ID
CH03122S
Grant Number
H80CS00682
Additional Details
Current Program Status
Active
Registration Date
8/6/2024
Participating Start Date
10/1/2024
Participating Approval Date
8/8/2024
Last Recertification Date
3/5/2025
Contacts
Authorizing Official
North Penn Comprehensive Health Services
Ronald M Gilbert, CFO
(570) 828-3869
Primary Contact
North Penn Comprehensive Health Services
Brandi Fitzwater, Controller
(570) 662-1951
Addresses
Street Address
410 Main Street UNIT 102
Towanda, PA 18848-1865
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
April 2025
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