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CH05175AH ACCESS COMMUNITY HEALTH NETWORK (Terminated)
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Main Details
Name
ACCESS COMMUNITY HEALTH NETWORK
Subdivision Name
ACCESS AT ANIXTER CENTER
Type
HRSA-Funded Health Center
Site ID
BPS-H80-000332
340B ID
CH05175AH
Grant Number
H80CS00834
Additional Details
Current Program Status
Terminated
Registration Date
1/1/1998
Participating Start Date
1/1/1998
Participating Approval Date
3/24/2004
Last Recertification Date
2/13/2018
Termination Date
Termination Reason
10/1/2018
Site closure
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
2020 N Clybourn Ave
Chicago, IL 60614-4004
Billing Address
ACCESS COMMUNITY HEALTH NETWORK
600 W Fulton St
Suite 200
CHICAGO, IL 60661
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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4/17/12-Removed Medicaid number; 7/13/10 ADDED BILL TO; ADDED E-MAIL ADDRESS
04/17/2012
7/13/10 ADDED BILL TO; ADDED E-MAIL ADDRESS
03/24/2004
7/13/10 ADDED BILL TO; ADDED E-MAIL ADDRESS
03/24/2004
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