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CH05175AL ACCESS COMMUNITY HEALTH NETWORK (Active)
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Main Details
Name
ACCESS COMMUNITY HEALTH NETWORK
Subdivision Name
ACCESS Auburn-Gresham Family Health Center
Type
HRSA-Funded Health Center
Site ID
BPS-H80-005313
340B ID
CH05175AL
Grant Number
H80CS00834
Additional Details
Current Program Status
Active
Registration Date
10/1/2003
Participating Start Date
10/1/2003
Participating Approval Date
11/19/2003
Last Recertification Date
2/13/2025
Contacts
Authorizing Official
Access Community Health Network
Mahomed Ouedraogo, Chief Executive Officer
(312) 526-2360
Primary Contact
Access Community Health Network
Kenneth Pacheco, Director, Pharmacy and Lab Services
(312) 526-2107
Addresses
Street Address
8234 S. ASHLAND AVE
CHICAGO, IL 60620-4625
Billing Address
ACCESS COMMUNITY HEALTH NETWORK
600 W Fulton St
Suite 300
CHICAGO, IL 60661
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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7/13/10 ADDED BILL TO; ADDRESS CORRECTION
03/18/2014
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11/19/2003
7/13/10 ADDED BILL TO; ADDRESS CORRECTION
11/19/2003
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