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CH0412810 TAMPA FAMILY HEALTH CENTERS, INC. (Active)
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Main Details
Name
TAMPA FAMILY HEALTH CENTERS, INC.
Subdivision Name
TFHC #16 New Nebraska
Type
HRSA-Funded Health Center
Site ID
BPS-H80-032101
340B ID
CH0412810
Grant Number
H80CS00407
Additional Details
Current Program Status
Active
Registration Date
7/1/1995
Participating Start Date
7/1/1995
Participating Approval Date
1/21/2010
Last Recertification Date
2/18/2025
Contacts
Authorizing Official
Tampa Family Health Centers, Inc.
Sherry Hoback, Chief Executive Officer
(813) 866-0930 Ext: 1319
Primary Contact
Tampa Family Health Centers, Inc
Lisa A Mazarik, Director of Pharmacy Affairs
(813) 557-9621
Addresses
Street Address
12410 N Nebraska Ave
Tampa, FL 33612
Billing Address
TAMPA FAMILY HEALTH CENTERS, INC
PO BOX 82969
TAMPA, FL 33682-5352
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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12/18/07 ADDED MEDICAID # EFFEC 6/1/05; 9/17/07 UPDATED ADDR (WAS 1229 EAST 131ST AVENUE)
01/21/2010
May 2025
May 2025
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