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FQHCLA189 MON VALLEY COMMUNITY HEALTH SERVICES, INC. (Terminated)
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Main Details
Name
MON VALLEY COMMUNITY HEALTH SERVICES, INC.
Subdivision Name
SPHS FAMILY HEALTH COMPLEX
Type
Health Center Program Look-Alike
Site ID
BPS-LAL-009796
340B ID
FQHCLA189
Grant Number
LALCS00065
Additional Details
Current Program Status
Terminated
Registration Date
10/1/2005
Participating Start Date
9/9/2005
Participating Approval Date
8/8/2005
Last Recertification Date
2/8/2019
Termination Date
Termination Reason
10/1/2019
Change of covered entity type (non-hospital)
Contacts
Authorizing Official
Mon Valley Community Health Services Inc.
LUTHER SHEETS, COO
(724) 489-3100 Ext: 4114
Primary Contact
Mon Valley Community Health Services Inc.
Kellie McKevitt, Executive Director
(724) 489-9100 Ext: 3180
Addresses
Street Address
2 EASTGATE AVENUE
MONESSEN, PA 15062
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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7/27/07 ADDR CHANGE (WAS EASTGATE #8)
08/05/2009
April 2025
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