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CH05175CA ACCESS COMMUNITY HEALTH NETWORK (Active)
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Main Details
Name
ACCESS COMMUNITY HEALTH NETWORK
Subdivision Name
ACCESS Cabrini Family Health Center
Type
HRSA-Funded Health Center
Site ID
BPS-H80-008733
340B ID
CH05175CA
Grant Number
H80CS00834
Additional Details
Current Program Status
Active
Registration Date
7/1/2005
Participating Start Date
7/1/2005
Participating Approval Date
6/7/2005
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
3450 S Archer Ave
Chicago, IL 60608-6837
Billing Address
ACCESS COMMUNITY HEALTH NETWORK
600 W Fulton St
Suite 300
CHICAGO, IL 60661
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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1/31/11 UPDATED PHYS ADD (WAS 1858 WEST 35TH STREET 60609); 7/13/10 ADDED BILL TO; NEW SITE 7/1/05
01/31/2011
1/31/11 UPDATED PHYS ADD (WAS 1858 WEST 35TH STREET 60609); 7/13/10 ADDED BILL TO; NEW SITE 7/1/05
01/31/2011
April 2025
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