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CH033200 GREATER PHILADELPHIA HEALTH ACTION, INCORPORATED (Active)
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Main Details
Name
GREATER PHILADELPHIA HEALTH ACTION, INCORPORATED
Subdivision Name
Carl Moore Health Center
Type
HRSA-Funded Health Center
Site ID
BPS-H80-018032
340B ID
CH033200
Grant Number
H80CS00708
Additional Details
Current Program Status
Active
Registration Date
1/1/2004
Participating Start Date
1/1/2004
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
1401 S. 31st Street
Philadelphia, PA 19146
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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NEW SITE - 01/01/2004 AND ID CHANGE - SEE CH03320B
12/11/2003
May 2025
May 2025
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