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FQHCLA130 HOWARD BROWN HEALTH CENTER (Terminated)
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Main Details
Name
HOWARD BROWN HEALTH CENTER
Subdivision Name
Type
Health Center Program Look-Alike
Site ID
BPS-LAL-009797
340B ID
FQHCLA130
Grant Number
LALCS00066
Additional Details
Current Program Status
Terminated
Registration Date
7/1/2003
Participating Start Date
7/1/2003
Participating Approval Date
8/8/2003
Last Recertification Date
2/12/2016
Termination Date
Termination Reason
10/1/2016
Loss of qualifying grant/support
Contacts
Authorizing Official
Howard Brown
Kristin Keglovitz-Baker, SVP, Chief Operating Officer
(773) 388-8901
Primary Contact
Will Balsam, Compliance Analyst
(773) 388-1600 Ext: 1051
Addresses
Street Address
4025 NORTH SHERIDAN ROAD
CHICAGO, IL 60613
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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