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CH051750 ACCESS COMMUNITY HEALTH NETWORK (Active)
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Main Details
Name
ACCESS COMMUNITY HEALTH NETWORK
Subdivision Name
ADMINISTRATIVE OFFICES
Type
HRSA-Funded Health Center
Site ID
BPS-H80-039680
340B ID
CH051750
Grant Number
H80CS00834
Additional Details
Current Program Status
Active
Registration Date
7/1/2004
Participating Start Date
7/1/2004
Participating Approval Date
5/27/2004
Last Recertification Date
2/13/2025
Contacts
Authorizing Official
Access Community Health Network
Mahomed Ouedraogo, Chief Executive Officer
(312) 526-2360
Primary Contact
Access Community Health Network
Kenneth Pacheco, Director, Pharmacy and Lab Services
(312) 526-2107
Addresses
Street Address
600 W Fulton
STE 300
CHICAGO, IL 60661
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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7/13/10 ADDED BILL TO; 6/4/10 UPDATED ADDR (WAS 1501 SOUTH CALIFORNIA AVENUE, 60608)
03/18/2014
7/13/10 ADDED BILL TO; 6/4/10 UPDATED ADDR (WAS 1501 SOUTH CALIFORNIA AVENUE, 60608)
06/04/2010
7/13/10 ADDED BILL TO; 6/4/10 UPDATED ADDR (WAS 1501 SOUTH CALIFORNIA AVENUE, 60608)
06/04/2010
May 2025
May 2025
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