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CH0718570 Eastern Iowa Health Center (Active)
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Main Details
Name
Eastern Iowa Health Center
Subdivision Name
Eastern Iowa Health Center
Type
HRSA-Funded Health Center
Site ID
BPS-H80-009081
340B ID
CH0718570
Grant Number
H80CS08226
Additional Details
Current Program Status
Active
Registration Date
2/22/2008
Participating Start Date
4/1/2008
Participating Approval Date
2/25/2008
Last Recertification Date
2/10/2025
Contacts
Authorizing Official
Eastern Iowa Health Center
James Lock, President & CEO
(319) 730-7300
Primary Contact
Eastern Iowa Health Center
Michele Renee Davis, Director of Quality & Risk Managment
(319) 730-7300 Ext: 7388
Addresses
Street Address
1201 3rd Ave SE
Cedar Rapids, IA 52403
Billing Address
Eastern Iowa Health Center
1030 5th Avenue SE
Suite 2400
Cedar Rapids, IA 52403-2478
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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5/20/11- CHANGED PHYSICAL ADDRESS TO ORIGINAL. ADDED BILL TO ADDRESS.
05/24/2011
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