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CH01081E Southwest Community Health Center, Inc. (Active)
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Main Details
Name
Southwest Community Health Center, Inc.
Subdivision Name
CASA
Type
HRSA-Funded Health Center
Site ID
BPS-H80-007463
340B ID
CH01081E
Grant Number
H80CS00613
Additional Details
Current Program Status
Active
Registration Date
4/5/2019
Participating Start Date
4/11/2019
Participating Approval Date
4/10/2019
Last Recertification Date
2/10/2025
Contacts
Authorizing Official
South-West Community Health Center, Inc.
Mollie Melbourne, President/CEO
(203) 332-3501
Primary Contact
Southwest Community Health center,Inc
Naila Haroon, Manager 340 B Program & Credentialing
(203) 332-3564
Addresses
Street Address
690 Arctic St
Bridgeport, CT 06608-2008
Billing Address
SOUTHWEST COMMUNITY HEALTH CENTER, INC.
46 Albion Street
BRIDGEPORT, CT 06605
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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Participating from effective date (1/1/2004) until terminated effective date (4/1/2019), reinstatement effective date (04/11/2019).
04/11/2019
Participating from effective date (1/1/2004) until terminated effective date (04/01/2019), reinstatement effective date (07/01/2019)
04/10/2019
April 2025
April 2025
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