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CH01058N PROVIDENCE COMMUNITY HEALTH CENTERS, INC., THE (Active)
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Main Details
Name
PROVIDENCE COMMUNITY HEALTH CENTERS, INC., THE
Subdivision Name
Crossroads RI
Type
HRSA-Funded Health Center
Site ID
BPS-H80-005125
340B ID
CH01058N
Grant Number
H80CS00057
Additional Details
Current Program Status
Active
Registration Date
12/14/2006
Participating Start Date
1/1/2007
Participating Approval Date
12/14/2006
Last Recertification Date
3/4/2025
Contacts
Authorizing Official
PCHC
MERRILL THOMAS, CEO
(401) 444-0400 Ext: 3130
Primary Contact
Providence Community Health Centers
Garrett Clark, CO
(401) 444-0400
Addresses
Street Address
160 Broad St
Providence, RI 02903-4028
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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April 2025
April 2025
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