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CH051030 TCA HEALTH, INC. NFP (Active)
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Main Details
Name
TCA HEALTH, INC. NFP
Subdivision Name
THE CLINIC IN ALTGELD, INC.
Type
HRSA-Funded Health Center
Site ID
BPS-H80-004551
340B ID
CH051030
Grant Number
H80CS00109
Additional Details
Current Program Status
Active
Registration Date
10/1/1997
Participating Start Date
10/1/1997
Participating Approval Date
12/29/2003
Last Recertification Date
2/12/2025
Contacts
Authorizing Official
TCA Health, Inc.
VERONICA CLARKE, CEO
(773) 995-6300 Ext: 213
Primary Contact
TCA Health, Inc. NFP
Manoj Mathew, Medical Director
(773) 995-6300 Ext: 251
Addresses
Street Address
1029 E 130th St
Chicago, IL 60628-6908
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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ADMIN CHANGE - OLD #PH051030 NEW NAME/ PH AND CH GRANTEE
03/08/2006
May 2025
May 2025
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