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CHC08221-00 HEART CITY HEALTH CENTER, INC. (Active)
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Main Details
Name
HEART CITY HEALTH CENTER, INC.
Subdivision Name
HEART CITY HEALTH CENTER
Type
HRSA-Funded Health Center
Site ID
BPS-H80-001140
340B ID
CHC08221-00
Grant Number
H80CS08221
Additional Details
Current Program Status
Active
Registration Date
6/7/2010
Participating Start Date
4/1/2005
Participating Approval Date
3/10/2005
Last Recertification Date
2/21/2025
Contacts
Authorizing Official
Heart City Health Center, Inc.
Esleen Emma Fultz, CEO
(574) 970-3257
Primary Contact
HEART CITY HEALTH CENTER
EUGENIO EDWARDO VALDEZ, PHARMACIST
(574) 970-1441
Addresses
Street Address
236 Simpson Ave
Elkhart, IN 46516-4671
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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April 2025
April 2025
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