340B Drug Pricing Program Database

Name

MANET COMMUNITY HEALTH CENTER, INCORPORATED

Subdivision Name

MANET CHC AT QUINCY MEDICAL CTR

Type

HRSA-Funded Health Center

Site ID

BPS-H80-000925

340B ID

CH01164D

Grant Number

H80CS00453

Current Program Status

Terminated

Registration Date

4/1/2004

Participating Start Date

4/1/2004

Participating Approval Date

3/11/2004

Last Recertification Date

2/1/2017

Termination Date
Termination Reason

4/1/2018
Failure to recertify

Authorizing Official

Manet Community Health Center
Gail Covelluzzi, CFO
(617) 690-6953

Primary Contact

Manet Community Health Center
Lisa Levine, Senior Director ACO
(617) 690-6343

Street Address

114 Whitwell St
Quincy, MA 02169-1870

Billing Address

MANET COMMUNITY HEALTH CENTER, INC.
110 WEST SQUANTUM STREET
NORTH QUINCY, MA 02171