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CH03393F CHESPENN HEALTH SERVICES (Active)
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Main Details
Name
CHESPENN HEALTH SERVICES
Subdivision Name
ChesPenn Eastside Health Center
Type
HRSA-Funded Health Center
Site ID
BPS-H80-001455
340B ID
CH03393F
Grant Number
H80CS00738
Additional Details
Current Program Status
Active
Registration Date
1/1/2005
Participating Start Date
1/1/2005
Participating Approval Date
12/17/2004
Last Recertification Date
2/26/2025
Contacts
Authorizing Official
ChesPenn Health Services
Susan Harris McGovern, President and CEO
(610) 485-3800 Ext: 632
Primary Contact
ChesPenn Health Services
David Ruvolo, Compliance Officer
(610) 485-3800 Ext: 635
Addresses
Street Address
125 E 9th St
Chester, PA 19013-6019
Billing Address
CHESPENN HEALTH SERVICES
1510 Chester Pike, Suite 200
Eddystone, PA 19022
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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1/14/10 UPDATED BILL TO ADD (WAS 1300 W 9TH STREET); NEW SITE 01/01/2005
01/14/2010
April 2025
April 2025
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