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CH041281L TAMPA FAMILY HEALTH CENTERS, INC. (Active)
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Main Details
Name
TAMPA FAMILY HEALTH CENTERS, INC.
Subdivision Name
TFHC West Tampa (MLK)
Type
HRSA-Funded Health Center
Site ID
BPS-H80-033508
340B ID
CH041281L
Grant Number
H80CS00407
Additional Details
Current Program Status
Active
Registration Date
3/6/2007
Participating Start Date
4/1/2007
Participating Approval Date
3/7/2007
Last Recertification Date
2/18/2025
Contacts
Authorizing Official
Tampa Family Health Centers, Inc.
Sherry Hoback, Chief Executive Officer
(813) 866-0930 Ext: 1319
Primary Contact
Tampa Family Health Centers, Inc
Lisa A Mazarik, Director of Pharmacy Affairs
(813) 557-9621
Addresses
Street Address
2808 W Dr Martin Luther King Jr Blvd
Bldg
Tampa, FL 33607
Billing Address
TAMPA FAMILY HEALTH CENTERS, INC
PO BOX 82969
TAMPA, FL 33682
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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12/18/07 ADDED MEDICAID # EFFECTIVE 9/1/07
01/21/2010
May 2025
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