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CH051833B 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
Human Service Center
Type
HRSA-Funded Health Center
Site ID
BPS-H80-007249
340B ID
CH051833B
Grant Number
H80CS02457
Additional Details
Current Program Status
Active
Registration Date
4/1/2004
Participating Start Date
10/1/2011
Participating Approval Date
3/25/2004
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
228 NE Jefferson Avenue
Peoria, IL 61603
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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9/29/11 PARTICIPATING 4/1/04-3/31/10, NOT PARTICIPATING 4/1/10-9/30/11, UPDATED SUBDIV NAME (WAS AT FAYETTE HUMAN SERVICES CENTER)
09/29/2011
May 2025
May 2025
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