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FP96763 LANA`I COMMUNITY HEALTH CENTER (Terminated)
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Main Details
Name
LANA`I COMMUNITY HEALTH CENTER
Subdivision Name
Type
Family Planning (Title X only)
340B ID
FP96763
Grant Number
FPHPA090326
Additional Details
Current Program Status
Terminated
Registration Date
6/5/2008
Participating Start Date
7/1/2008
Participating Approval Date
6/6/2008
Last Recertification Date
5/11/2020
Termination Date
Termination Reason
10/1/2020
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
333 Sixth Street
Lanai City, HI 96763
Billing Address
LANA`I COMMUNITY HEALTH CENTER
333 Sixth Street
PO BOX 630142
LANA`I CITY, HI 96763
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
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