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CH05903C COMMUNITY HEALTH SYSTEMS, INC. (Terminated)
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Main Details
Name
COMMUNITY HEALTH SYSTEMS, INC.
Subdivision Name
JANESVILLE COMMUNITY HEALTH CENTER
Type
HRSA-Funded Health Center
Site ID
BPS-H80-004282
340B ID
CH05903C
Grant Number
H80CS00676
Additional Details
Current Program Status
Terminated
Registration Date
11/29/2006
Participating Start Date
1/1/2007
Participating Approval Date
11/30/2006
Last Recertification Date
1/28/2019
Termination Date
Termination Reason
4/1/2020
Site closure
Contacts
Authorizing Official
Community Health Systems, Inc.
Caryn Davis, Director of Finance
(608) 299-3302
Primary Contact
Community Health Systems, Inc.
Mark Lundvall, Director of Finance
(608) 313-3360
Addresses
Street Address
849 KELLOGG AVENUE
JANESVILLE, WI 53546-9939
Billing Address
COMMUNITY HEALTH SYSTEMS, INC.
74 Eclipse Center
BELOIT, WI 53511
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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2/8/07 - ENT NAME CHANGE (FORMERLY BELOIT AREA COMMUNITY HEALTH CENTER)
02/08/2007
May 2025
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