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CH010710 SOUTH COVE COMMUNITY HEALTH CENTER, INC. (Active)
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Main Details
Name
SOUTH COVE COMMUNITY HEALTH CENTER, INC.
Subdivision Name
SOUTH STREET CLINIC
Type
HRSA-Funded Health Center
Site ID
BPS-H80-003738
340B ID
CH010710
Grant Number
H80CS00600
Additional Details
Current Program Status
Active
Registration Date
7/1/2004
Participating Start Date
7/1/2004
Participating Approval Date
5/20/2004
Last Recertification Date
2/11/2025
Contacts
Authorizing Official
South Cove Community Health Center Inc
ERIC TIBERI, CEO
(617) 521-6708
Primary Contact
South Cove Community Health Center, Inc
Jason Wong, Billing Manager
(617) 521-6706
Addresses
Street Address
145 South St
Boston, MA 02111-2826
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 07/01/2004
05/20/2004
May 2025
May 2025
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