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CH04021B CENTRAL FLORIDA HEALTH CARE, INC. (Terminated)
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Main Details
Name
CENTRAL FLORIDA HEALTH CARE, INC.
Subdivision Name
CFHC WAUCHULA CLINIC
Type
HRSA-Funded Health Center
Site ID
BPS-H80-003402
340B ID
CH04021B
Grant Number
H80CS00423
Additional Details
Current Program Status
Terminated
Registration Date
10/1/1996
Participating Start Date
10/1/1996
Participating Approval Date
3/25/2005
Last Recertification Date
2/21/2019
Termination Date
Termination Reason
4/1/2020
Site closure
Contacts
Authorizing Official
CENTRAL FLORIDA HEALTH CARE INC
ANN CLAUSSEN, CEO
(863) 291-5115
Primary Contact
Central Florida Health Care
Ron M Pickos, Chief Pharmacy Officer
(863) 206-3710
Addresses
Street Address
204 E Palmetto St
Wauchula, FL 33873-2732
Billing Address
CFHC Administrative Office
47 5TH ST NW
WINTER HAVEN, FL 33881-4672
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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