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CH051833Q HEARTLAND COMMUNITY HEALTH CLINIC INC (Approved)
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Main Details
Name
HEARTLAND COMMUNITY HEALTH CLINIC INC
Subdivision Name
Heartland Health Services - East Bluff Community Center
Type
HRSA-Funded Health Center
Site ID
BPS-H80-039884
340B ID
CH051833Q
Grant Number
H80CS02457
Additional Details
Current Program Status
Approved
Registration Date
4/7/2025
Participating Start Date
7/1/2025
Participating Approval Date
4/8/2025
Last Recertification Date
Contacts
Authorizing Official
Heartland Health Services
Dewitt Harrell, CEO
(309) 680-7657
Primary Contact
Heartland Health Services
Tony Bartlett, CFO
(309) 680-7612
Addresses
Street Address
512 E Kansas St
Peoria, IL 61603-2554
Billing Address
Heartland Community Health Clinic DBA: Heartland Health Services
2214 N. University St
Peoria, IL 61604
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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April 2025
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