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CH01071C SOUTH COVE COMMUNITY HEALTH CENTER, INC. (Active)
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Main Details
Name
SOUTH COVE COMMUNITY HEALTH CENTER, INC.
Subdivision Name
NORTH QUINCY CLINIC
Type
HRSA-Funded Health Center
Site ID
BPS-H80-001746
340B ID
CH01071C
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
435 HANCOCK ST
NORTH QUINCY, MA 02171-2428
Billing Address
SOUTH COVE COMMUNITY HEALTH CENTER
145 SOUTH STREET
BOSTON, MA 02111
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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10/5/07 UPDATED ADDR (WAS 275 HANCOCK STREET, QUINCY, MA 02171); 7/30/07 UPDATED ADDR (WAS 275 HANCOCK STREET, 2ND FLOOR)
01/13/2010
April 2025
April 2025
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