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CH0931570 LANA'I COMMUNITY HEALTH CENTER (Terminated)
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Main Details
Name
LANA'I COMMUNITY HEALTH CENTER
Subdivision Name
Lana'i Community Health Center
Type
HRSA-Funded Health Center
Site ID
BPS-H80-002370
340B ID
CH0931570
Grant Number
H80CS08775
Additional Details
Current Program Status
Terminated
Registration Date
3/6/2008
Participating Start Date
4/1/2008
Participating Approval Date
3/6/2008
Last Recertification Date
2/4/2021
Termination Date
Termination Reason
4/1/2021
Business decision by the Covered Entity
Contacts
Authorizing Official
Lanai Community Health Center
DIANA MV SHAW, EXECUTIVE DIRECTOR
(808) 565-6919 Ext: 114
Primary Contact
Lanai Community Health Center
Cindylou Figuerres, Interim Executive Director
(808) 565-6919
Addresses
Street Address
478 Lauhala Place
Lanai City, HI 96763
Billing Address
LANA`I COMMUNITY HEALTH CENTER
PO BOX 630142
LANA`I CITY, HI 96763-0142
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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6/19/09 MEDI # ADDED - 6/19/2008-UPDATED AUTH. OFFICIAL
06/19/2009
April 2025
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