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CH04175D SUNCOAST COMMUNITY HEALTH CENTERS, INC. (Active)
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Main Details
Name
SUNCOAST COMMUNITY HEALTH CENTERS, INC.
Subdivision Name
PLANT CITY FAMILY CARE
Type
HRSA-Funded Health Center
Site ID
BPS-H80-027013
340B ID
CH04175D
Grant Number
H80CS00541
Additional Details
Current Program Status
Active
Registration Date
10/1/1997
Participating Start Date
10/1/1997
Participating Approval Date
1/21/2010
Last Recertification Date
2/14/2025
Contacts
Authorizing Official
Suncoast Community Health Centers, Inc.
Bradley Herremans, CEO
(813) 653-6268
Primary Contact
Suncoast Community Health Centers, Inc.
Miosotis Peguero, Analyst – Finance & Pharmacy Compliance
(813) 349-7998
Addresses
Street Address
801 E BAKER ST
Plant City, FL 33563-3820
Billing Address
PLANT CITY FAMILY CARE
P.O Box 1349
Ruskin, FL 33575
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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3/29/12-Changed authorizing official and primary contact (was BRANTZ ROSZEL, C.P.A.)and changed zip code was 33566; 12/21/05 UPDATED ENTITY NAME
03/29/2012
12/21/05 UPDATED ENTITY NAME
01/21/2010
May 2025
May 2025
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