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CH04037C FLORIDA COMMUNITY HEALTH CENTER INC (Active)
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Main Details
Name
FLORIDA COMMUNITY HEALTH CENTER INC
Subdivision Name
Lakeshore Medical Adults
Type
HRSA-Funded Health Center
Site ID
BPS-H80-010371
340B ID
CH04037C
Grant Number
H80CS00798
Additional Details
Current Program Status
Active
Registration Date
12/1/1992
Participating Start Date
12/1/1992
Participating Approval Date
2/1/2005
Last Recertification Date
2/13/2025
Contacts
Authorizing Official
Florida Community Health Center, Inc.
Margaret Virginia Russell, VP & CFO
(561) 844-9443 Ext: 1003
Primary Contact
Florida Community Health Centers, Inc
MELISSA ALLEN DAVIS, 340B Program Coordinator
(772) 462-6520
Addresses
Street Address
1100 North Parrott Ave
Okeechobee, FL 34972-2212
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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CORRECTED ENTITY NAME, 2/1/05 - NEW CONTACT INFO
02/01/2005
April 2025
April 2025
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