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CH08022A COMMUNITY HEALTH CENTERS, INC. (Terminated)
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Main Details
Name
COMMUNITY HEALTH CENTERS, INC.
Subdivision Name
CENTRAL CITY COMMUNITY HEALTH CENTER
Type
HRSA-Funded Health Center
Site ID
BPS-H80-020871
340B ID
CH08022A
Grant Number
H80CS00220
Additional Details
Current Program Status
Terminated
Registration Date
7/1/1995
Participating Start Date
7/1/1995
Participating Approval Date
6/24/2004
Last Recertification Date
2/7/2018
Termination Date
Termination Reason
4/1/2019
Site closure
Contacts
Authorizing Official
Community Health Centers, Inc
DEXTER PEARCE, Executive Director
(801) 412-6920
Primary Contact
Community Health Centers, Inc
Chris Hyer, MEDICAL DIRECTOR
(801) 412-6920
Addresses
Street Address
324 Tenth Avenue
Suite 249
SALT LAKE CITY, UT 84103
Billing Address
Community Health Centers, Inc
220 West 7200 South
Suite A100
Midvale, UT 84047
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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12/28/07 ADDED MEDICAID #
01/21/2010
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