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CH08410C HIGH PLAINS COMMUNITY HEALTH CENTER (Terminated)
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Main Details
Name
HIGH PLAINS COMMUNITY HEALTH CENTER
Subdivision Name
HIGH PLAINS CHC MIGRANT CLINIC
Type
HRSA-Funded Health Center
Site ID
BPS-H80-006052
340B ID
CH08410C
Grant Number
H80CS00214
Additional Details
Current Program Status
Terminated
Registration Date
4/1/2005
Participating Start Date
4/1/2005
Participating Approval Date
1/24/2005
Last Recertification Date
2/12/2016
Termination Date
Termination Reason
4/1/2016
Site closure
Contacts
Authorizing Official
Jay Brooke, Executive Director
(719) 336-0261
Primary Contact
Jay Brooke, Executive Director
(719) 336-0261
Addresses
Street Address
100 SNOWDEN
GRANADA, CO 81041-0000
Billing Address
HIGH PLAINS COMMUNITY HEALTH CENTER
201 KENDALL DRIVE
LAMAR, CO 81052
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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NEW SITE 4/01/05
08/12/2005
May 2025
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