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CH07119U GRACE HILL HEALTH CENTER INC (Terminated)
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Main Details
Name
GRACE HILL HEALTH CENTER INC
Subdivision Name
SOULARD BENTON HEALTH CENTER
Type
HRSA-Funded Health Center
Site ID
BPS-H80-001312
340B ID
CH07119U
Grant Number
H80CS00415
Additional Details
Current Program Status
Terminated
Registration Date
11/17/2005
Participating Start Date
11/17/2005
Participating Approval Date
11/17/2005
Last Recertification Date
2/21/2017
Termination Date
Termination Reason
4/1/2018
Failure to recertify
Contacts
Authorizing Official
Janet L. Voss, Vice President and CFO
(314) 814-8571
Primary Contact
Kendra Holmes, Director of Pharmacy
(314) 814-8638
Addresses
Street Address
2220 LEMP AVE
ST. LOUIS, MO 63104-2700
Billing Address
Affinia Healthcare
PO BOX 551
ST LOUIS, MO 63188-0551
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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