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CHC12890-00 FAIRFIELD COMMUNITY HEALTH CENTER (Active)
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Main Details
Name
FAIRFIELD COMMUNITY HEALTH CENTER
Subdivision Name
FCHC South
Type
HRSA-Funded Health Center
Site ID
BPS-H80-036788
340B ID
CHC12890-00
Grant Number
H80CS19595
Additional Details
Current Program Status
Active
Registration Date
5/5/2010
Participating Start Date
7/1/2010
Participating Approval Date
5/13/2010
Last Recertification Date
2/10/2025
Contacts
Authorizing Official
FAIRFIELD COMMUNITY HEALTH CENTER
Kim Rase-Shuttleworth, Revenue Specialist
(740) 277-6043 Ext: 1011
Primary Contact
Fairfield Community Health Center
Daniel Edward Fisher, CFO
(740) 277-6043 Ext: 1002
Addresses
Street Address
220 E Walnut St
Lancaster, OH 43130-4464
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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6/14/11 UPDATED NAME (WAS FAIRFIELD COUNTY COMBINED GENERAL HEALTH DISTRICT) AND SUBDIV (WAS FAIRFIELD COMMUNITY HEALTH CENTER); 6/9/11 UPDATED GRANT NUMBER (WAS H80CS12890)
06/14/2011
May 2025
May 2025
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