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FP601851 ACCESS COMMUNITY HEALTH NETWORK (Terminated)
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Main Details
Name
ACCESS COMMUNITY HEALTH NETWORK
Subdivision Name
ACCESS West Chicago Family Health Center
Type
Family Planning (Title X only)
340B ID
FP601851
Grant Number
FPHPA056139
Additional Details
Current Program Status
Terminated
Registration Date
11/20/2009
Participating Start Date
1/1/2010
Participating Approval Date
12/16/2009
Last Recertification Date
5/30/2019
Termination Date
Termination Reason
1/1/2020
Other
Contacts
Authorizing Official
Access Community Health Network
DONNA THOMPSON, CEO
(312) 526-2051
Primary Contact
Access Community Health Network
Kenneth Pacheco, Director, Pharmacy and Lab Services
(312) 526-2107
Addresses
Street Address
245 WEST ROOSEVELT ROAD
BLDG 14 SUITE 150
WEST CHICAGO, IL 60185
Billing Address
ACCESS COMMUNITY HEALTH NETWORK
600 WEST FULTON STREET
SECOND FLOOR
CHICAGO, IL 60661
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
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