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CHC12884-00 OPEN DOOR HEALTH CENTER (Active)
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Main Details
Name
OPEN DOOR HEALTH CENTER
Subdivision Name
Open Door Health Center
Type
HRSA-Funded Health Center
Site ID
BPS-H80-008378
340B ID
CHC12884-00
Grant Number
H80CS12884
Additional Details
Current Program Status
Active
Registration Date
4/3/2017
Participating Start Date
7/1/2017
Participating Approval Date
4/21/2017
Last Recertification Date
2/10/2025
Contacts
Authorizing Official
Open Door Health Center
Lisa Soupir, COO
(507) 344-5502
Primary Contact
Open Door Health Center
Jennifer Beckius, CFO
(507) 344-5507
Addresses
Street Address
309 Holly Lane
Mankato, MN 56001-5422
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
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