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CH0414900 HEALTH, FLORIDA DEPARTMENT OF (Terminated)
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Main Details
Name
HEALTH, FLORIDA DEPARTMENT OF
Subdivision Name
NCCHC Spring Hill Campus
Type
HRSA-Funded Health Center
Site ID
BPS-H80-010858
340B ID
CH0414900
Grant Number
H80CS06444
Additional Details
Current Program Status
Terminated
Registration Date
6/1/2007
Participating Start Date
7/1/2007
Participating Approval Date
6/5/2007
Last Recertification Date
1/26/2017
Termination Date
Termination Reason
7/1/2017
Loss of qualifying grant/support
Contacts
Authorizing Official
FDOH-Hernando
Robin Napier, ADMINISTRATOR
(352) 540-6800 Ext: 82111
Primary Contact
FDOH-Hernando
Virginia Crandall, Nursing Director
(352) 540-6800 Ext: 82165
Addresses
Street Address
7551 Forest Oaks Blvd
Spring Hill, FL 34606-2437
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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11/23/10 ADDED NPI# AND MEDICAID #'S 7/13/11 - CHANGED CONTACT PERSON FROM KELLI K MAW, MD.
07/13/2011
11/23/10 ADDED NPI# AND MEDICAID #'S 7/13/11 - CHANGED CONTACT PERSON FROM KELLI K MAW, MD.
07/13/2011
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