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CH07119W Affinia Healthcare (Active)
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Main Details
Name
Affinia Healthcare
Subdivision Name
Affinia Healthcare at Biddle
Type
HRSA-Funded Health Center
Site ID
BPS-H80-001984
340B ID
CH07119W
Grant Number
H80CS00415
Additional Details
Current Program Status
Active
Registration Date
11/17/2005
Participating Start Date
11/17/2005
Participating Approval Date
11/17/2005
Last Recertification Date
2/10/2025
Contacts
Authorizing Official
Affinia Healthcare
Leslie S O'Connor, CFO
(618) 343-5786
Primary Contact
Affinia Healthcare
Kendra Holmes, President CEO
(314) 779-7530
Addresses
Street Address
1717 Biddle St
Saint Louis, MO 63106-3454
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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