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CH0535370 BELOVED COMMUNITY FAMILY WELLNESS CENTER (Active)
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Main Details
Name
BELOVED COMMUNITY FAMILY WELLNESS CENTER
Subdivision Name
Beloved Community Family Wellness Center
Type
HRSA-Funded Health Center
Site ID
BPS-H80-008853
340B ID
CH0535370
Grant Number
H80CS08258
Additional Details
Current Program Status
Active
Registration Date
11/26/2007
Participating Start Date
1/1/2008
Participating Approval Date
11/27/2007
Last Recertification Date
2/11/2025
Contacts
Authorizing Official
Beloved Community Family Wellness Center
MARGIE JOHNSON, CHIEF EXECUTIVE OFFICER
(773) 651-3828
Primary Contact
Beloved Community Family Wellness Center
Laura Lucero, Chief Medical Officer
(773) 651-3629
Addresses
Street Address
6821 S. Halsted
Chicago, IL 60621-1833
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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May 2025
May 2025
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