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CH03393D CHESPENN HEALTH SERVICES (Terminated)
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Main Details
Name
CHESPENN HEALTH SERVICES
Subdivision Name
CHESPENN HEALTH SERVICES
Type
HRSA-Funded Health Center
Site ID
BPS-H80-000695
340B ID
CH03393D
Grant Number
H80CS00738
Additional Details
Current Program Status
Terminated
Registration Date
1/1/2005
Participating Start Date
1/1/2005
Participating Approval Date
12/17/2004
Last Recertification Date
2/21/2017
Termination Date
Termination Reason
4/1/2017
Site closure
Contacts
Authorizing Official
ChesPenn Health Services
Michael G. Lucas, CEO and President
(610) 485-3800 Ext: 630
Primary Contact
ChesPenn Health Services
Mary McCullough, Administrative Manager
(610) 485-3800 Ext: 629
Addresses
Street Address
2602 W 9th St
Chester, PA 19013-2040
Billing Address
CHESPENN HEALTH SERVICES
2600 W 9TH STREET
2 NORTH
CHESTER, PA 19013
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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NEW SITE 01/01/2005
08/11/2005
April 2025
April 2025
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