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CH05642A LAWNDALE CHRISTIAN HLTH CTR (Active)
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Main Details
Name
LAWNDALE CHRISTIAN HLTH CTR
Subdivision Name
LCHC at Archer Avenue
Type
HRSA-Funded Health Center
Site ID
BPS-H80-008315
340B ID
CH05642A
Grant Number
H80CS00725
Additional Details
Current Program Status
Active
Registration Date
11/19/2009
Participating Start Date
1/1/2010
Participating Approval Date
11/27/2009
Last Recertification Date
2/11/2025
Contacts
Authorizing Official
Lawndale Christian Health Center
Christopher Robert Dons, Chief Financial Officer
(872) 588-3032
Primary Contact
Lawndale Christian Health Center
Alexandra Cueto, Internal Auditor
(872) 588-3027
Addresses
Street Address
5122 S Archer Ave
CHICAGO, IL 60632-4508
Billing Address
Lawndale Christian Health Center
3860 West Ogden Ave
CHICAGO, IL 60623
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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