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CH031220 N PENN COMPREHENSIVE HEALTH SVCS (Active)
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Main Details
Name
N PENN COMPREHENSIVE HEALTH SVCS
Subdivision Name
North Penn Comprehensive Health Services, Laurel Health Center Administration
Type
HRSA-Funded Health Center
Site ID
BPS-H80-003429
340B ID
CH031220
Grant Number
H80CS00682
Additional Details
Current Program Status
Active
Registration Date
10/29/2008
Participating Start Date
1/1/2009
Participating Approval Date
10/29/2008
Last Recertification Date
3/5/2025
Contacts
Authorizing Official
North Penn Comprehensive Health Services
Ronald M Gilbert, CFO
(570) 828-3869
Primary Contact
North Penn Comprehensive Health Services
Brandi Fitzwater, Controller
(570) 662-1951
Addresses
Street Address
40 W. Wellsboro St
Mansfield, PA 16933
Billing Address
North Penn Comprehensive Health Services
40 West Wellsboro St
Mansfield, PA 16933
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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April 2025
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