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CH07731C COMMUNITY HEALTH CENTERS OF SOUTHEASTERN IOWA, INC (Active)
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Main Details
Name
COMMUNITY HEALTH CENTERS OF SOUTHEASTERN IOWA, INC
Subdivision Name
CHC/SEIA Louisa County Clinic
Type
HRSA-Funded Health Center
Site ID
BPS-H80-008728
340B ID
CH07731C
Grant Number
H80CS00272
Additional Details
Current Program Status
Active
Registration Date
6/2/2009
Participating Start Date
7/1/2009
Participating Approval Date
6/15/2009
Last Recertification Date
2/17/2025
Contacts
Authorizing Official
Community Health Centers of Southeastern Iowa, INC
William A Grimm, Chief Executive Officer
(419) 966-5108
Primary Contact
Community Health Centers of Southeastern Iowa
Ann Speers, Admin Support Services Manager
(319) 576-3779
Addresses
Street Address
2409 Spring Street
Columbus City, IA 52737
Billing Address
COMMUNITY HEALTH CENTERS OF SOUTHEASTERN IOWA
1706 WEST AGENCY ROAD
WEST BURLINGTON, IA 52655
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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8/21/10 UPDATED ZIP (WAS 52738); 08/09/10 UPDATED ADDR (WAS 241 COLONELS DRIVE, COLUMBUS JUNCTION, IA 52738)
10/21/2010
May 2025
May 2025
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