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CH05315D COMMUNITY HEALTH IMPROVEMENT CENTER (Terminated)
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Main Details
Name
COMMUNITY HEALTH IMPROVEMENT CENTER
Subdivision Name
URBANA SCHOOL HEALTH CENTER
Type
HRSA-Funded Health Center
Site ID
BPS-H80-002287
340B ID
CH05315D
Grant Number
H80CS00681
Additional Details
Current Program Status
Terminated
Registration Date
10/1/2004
Participating Start Date
10/1/2004
Participating Approval Date
9/14/2004
Last Recertification Date
3/2/2018
Termination Date
Termination Reason
4/1/2019
Other
Contacts
Authorizing Official
Crossing Healthcare
Tanya Renee Andricks, CEO
(217) 877-6111
Primary Contact
Crossing Healthcare
Lois Tanner, CFO
(217) 877-6127
Addresses
Street Address
1002 S RACE ST
URBANA, IL 61801-4957
Billing Address
COMMUNITY HEALTH IMPROVEMENT CENTER
1314 NORTH MAIN STREET
DECATUR, IL 62526-4438
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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