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CH051833G Heartland Community Health Clinic DBA: Heartland Health Services (Active)
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Main Details
Name
Heartland Community Health Clinic DBA: Heartland Health Services
Subdivision Name
East Bluff
Type
HRSA-Funded Health Center
Site ID
BPS-H80-000578
340B ID
CH051833G
Grant Number
H80CS02457
Additional Details
Current Program Status
Active
Registration Date
6/4/2007
Participating Start Date
7/1/2007
Participating Approval Date
6/6/2007
Last Recertification Date
2/10/2025
Contacts
Authorizing Official
Heartland Health Services
Dewitt Harrell, CEO
(309) 680-7657
Primary Contact
Heartland Health Services
Tony Bartlett, CFO
(309) 680-7612
Addresses
Street Address
2321 N Wisconsin Ave
Peoria, IL 61603
Billing Address
Heartland Community Health Clinic DBA: Heartland Health Services
2214 N. University St
Peoria, IL 61604
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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