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CH03320C GREATER PHILADELPHIA HEALTH ACTION, INCORPORATED (Active)
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Main Details
Name
GREATER PHILADELPHIA HEALTH ACTION, INCORPORATED
Subdivision Name
SOUTHEAST HEALTH CENTER
Type
HRSA-Funded Health Center
Site ID
BPS-H80-004198
340B ID
CH03320C
Grant Number
H80CS00708
Additional Details
Current Program Status
Active
Registration Date
10/1/2003
Participating Start Date
10/1/2003
Participating Approval Date
12/11/2003
Last Recertification Date
2/10/2025
Contacts
Authorizing Official
Greater Philadelphia Health Action
Brian Clark, CEO
(215) 925-2400 Ext: 1060
Primary Contact
GPHA
Kern Haynes Sr., Chief Financial Officer
(215) 925-2400 Ext: 1001
Addresses
Street Address
800 Washington Ave
Philadelphia, PA 19147-4717
Billing Address
GREATER PHILADELPHIA HEALTH ACTION
1401 S 31st St
PHILADELPHIA, PA 19146
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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10/20/05 UPDATED ADDR (WAS 930 WASHINGTON AVENUE); 12/11/03 ADDED SHIP TO; 12/11/03 ADDED BILL TO;
01/21/2010
June 2025
June 2025
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