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CH053150 COMMUNITY HEALTH IMPROVEMENT CENTER (Active)
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Main Details
Name
COMMUNITY HEALTH IMPROVEMENT CENTER
Subdivision Name
COMMUNITY HEALTH IMPROVEMENT CENTER
Type
HRSA-Funded Health Center
Site ID
BPS-H80-017030
340B ID
CH053150
Grant Number
H80CS00681
Additional Details
Current Program Status
Active
Registration Date
12/1/1992
Participating Start Date
12/1/1992
Participating Approval Date
9/14/2004
Last Recertification Date
2/10/2025
Contacts
Authorizing Official
Crossing Healthcare
Tanya Renee Andricks, CEO
(217) 877-6111
Primary Contact
Crossing Healthcare
Lois Tanner, CFO
(217) 877-6127
Addresses
Street Address
320 East Central Avenue
Decatur, IL 62521-4665
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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UPDATED CONTACT INFO 9/29/05 - CHANGE OF ADDRESS
09/29/2005
UPDATED CONTACT INFO 9/29/05 - CHANGE OF ADDRESS
09/29/2005
April 2025
April 2025
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