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CH01081S South-West Community Health Center, Inc. (Terminated)
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Main Details
Name
South-West Community Health Center, Inc.
Subdivision Name
Roosevelt Swing Site School
Type
HRSA-Funded Health Center
Site ID
BPS-H80-012394
340B ID
CH01081S
Grant Number
H80CS00613
Additional Details
Current Program Status
Terminated
Registration Date
9/15/2010
Participating Start Date
10/1/2010
Participating Approval Date
9/16/2010
Last Recertification Date
2/12/2018
Termination Date
Termination Reason
4/1/2018
Site closure
Contacts
Authorizing Official
Southwest Community Health Center
KATHERINE S. YACAVONE, CEO
(203) 332-3502
Primary Contact
Southwest CHC
Susan M. Khalil, Director of Nursing Services
(203) 332-3506
Addresses
Street Address
160 Iranistan
Bridgeport, CT 06604-5685
Billing Address
SOUTHWEST COMMUNITY HEALTH CENTER, INC.
46 ALBION STREET
BRIDGEPORT, CT 06605
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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