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CH0511020 PROGRESSIVE COMMUNITY HEALTH CENTERS, INC (Active)
Main Details
Name
PROGRESSIVE COMMUNITY HEALTH CENTERS, INC
Subdivision Name
LISBON AVENUE HEALTH CENTER
Type
HRSA-Funded Health Center
Site ID
BPS-H80-004235
340B ID
CH0511020
Grant Number
H80CS00751
Contacts
Authorizing Official
Progressive Community Health Centers (PCHC)
Candice Cole, Chief Executive Officer
(414) 882-2030
Primary Contact
Progressive Community Health Centers
Barbara Zak, COO
(414) 935-8000 Ext: 361
Additional Details
Current Program Status
Active
Registration Date
3/1/2008
Participating Start Date
4/1/2008
Participating Approval Date
3/3/2008
Last Recertification Date
1/29/2024
Addresses
Street Address
3522 W Lisbon Ave
Milwaukee, WI 53208-1953
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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May 2024
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