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CHC28345-04 CHARLOTTE COMMUNITY HEALTH CLINIC, INC. (Active)
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Main Details
Name
CHARLOTTE COMMUNITY HEALTH CLINIC, INC.
Subdivision Name
Charlotte Community Health Clinic - ourBridge
Type
HRSA-Funded Health Center
Site ID
BPS-H80-034793
340B ID
CHC28345-04
Grant Number
H80CS28345
Additional Details
Current Program Status
Active
Registration Date
10/15/2024
Participating Start Date
1/1/2025
Participating Approval Date
10/16/2024
Last Recertification Date
2/12/2025
Contacts
Authorizing Official
Charlotte Community Health Clinic
Carolyn C. Allison, CEO
(704) 316-6574
Primary Contact
Charlotte Community Health Clinic
Lisa Holmes, COO
(704) 384-1976
Addresses
Street Address
3400 Shamrock Dr
Charlotte, NC 28215-3212
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
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