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CH061950D ST. FRANCIS HOUSE NWA, INC. (Terminated)
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Main Details
Name
ST. FRANCIS HOUSE NWA, INC.
Subdivision Name
Community Clinic Siloam Springs Medical
Type
HRSA-Funded Health Center
Site ID
BPS-H80-009419
340B ID
CH061950D
Grant Number
H80CS04290
Additional Details
Current Program Status
Terminated
Registration Date
6/8/2009
Participating Start Date
7/1/2009
Participating Approval Date
6/15/2009
Last Recertification Date
2/5/2024
Termination Date
Termination Reason
4/1/2025
Site closure
Contacts
Authorizing Official
St. Francis House NWA inc dba Community Clinic
James Semingson II, Chief Executive Officer
(479) 751-7417 Ext: 6070
Primary Contact
St. Francis House NWA inc dba Community Clinic
John L Smith, Compliance Director
(479) 751-7417 Ext: 6157
Addresses
Street Address
500 South Mount Olive STE 200
Siloam Springs, AR 72761
Billing Address
ST. FRANCIS HOUSE NWA, INC.
614 EAST EMMA AVE, SUITE 300
SPRINGDALE, AR 72764-4469
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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1/13/10 - UPDATED PHYS ADD (WAS 304 S. MAXWELL, SILOAM SPRINGS, AR)
01/13/2010
May 2025
May 2025
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