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CH051833A Heartland Community Health Clinic DBA: Heartland Health Services (Active)
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Main Details
Name
Heartland Community Health Clinic DBA: Heartland Health Services
Subdivision Name
Garden
Type
HRSA-Funded Health Center
Site ID
BPS-H80-001864
340B ID
CH051833A
Grant Number
H80CS02457
Additional Details
Current Program Status
Active
Registration Date
1/1/2004
Participating Start Date
1/1/2004
Participating Approval Date
12/12/2003
Last Recertification Date
2/10/2025
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
1701 W Garden St
Peoria, IL 61605
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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3/24/06 - CHANGE IN NAME (WAS MOTHER FRANCIS KRASSE CLINIC)
04/09/2010
May 2025
May 2025
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