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CH0516760 Madison County Community Health Center, Incorporated (Terminated)
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Main Details
Name
Madison County Community Health Center, Incorporated
Subdivision Name
MADISON COUNTY COMMUNITY HEALTH CENTER
Type
HRSA-Funded Health Center
Site ID
BPS-H80-000102
340B ID
CH0516760
Grant Number
H80CS00872
Additional Details
Current Program Status
Terminated
Registration Date
4/1/2004
Participating Start Date
4/1/2004
Participating Approval Date
3/23/2004
Last Recertification Date
2/21/2019
Termination Date
Termination Reason
7/1/2019
Business decision by the Covered Entity
Contacts
Authorizing Official
Madison County Community Health Center
Sharon A. Foote, CEO
(765) 641-0255 Ext: 413
Primary Contact
Madison County Community Health Center
Sally Tincher, Director of Compliance and Risk Management
(765) 641-7499 Ext: 265
Addresses
Street Address
1547 Ohio Ave
Anderson, IN 46016-1917
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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