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CH05744V PCC COMMUNITY WELLNESS CENTER (Active)
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Main Details
Name
PCC COMMUNITY WELLNESS CENTER
Subdivision Name
PCC Austin Family Health Center
Type
HRSA-Funded Health Center
Site ID
BPS-H80-033469
340B ID
CH05744V
Grant Number
H80CS00276
Additional Details
Current Program Status
Active
Registration Date
12/16/2024
Participating Start Date
1/1/2025
Participating Approval Date
12/17/2024
Last Recertification Date
2/10/2025
Contacts
Authorizing Official
PCC Community Wellness Center
Alyssa Sianghio, Chief Executive Officer
(708) 383-1113
Primary Contact
PCC Community Wellness Center
Sonia Taylor, Senior Director, Finance
(708) 262-0038
Addresses
Street Address
5461 W Lake St
Chicago, IL 60644-2343
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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June 2025
June 2025
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