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CH03715G RICHMOND, CITY OF (Active)
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Main Details
Name
RICHMOND, CITY OF
Subdivision Name
South Side Medical Center
Type
HRSA-Funded Health Center
Site ID
BPS-H80-009324
340B ID
CH03715G
Grant Number
H80CS00174
Additional Details
Current Program Status
Active
Registration Date
12/1/2010
Participating Start Date
1/1/2011
Participating Approval Date
12/2/2010
Last Recertification Date
2/10/2025
Contacts
Authorizing Official
Vernon J Harris
Tracy Causey, CEO
(804) 253-1968
Primary Contact
Capital Area Health Network
Nickie Falero-Hicks, CNO
(804) 780-0840
Addresses
Street Address
101 Cowardin Ave, Suite 102
Richmond, VA 23224
Billing Address
CAPITAL AREA HEALTH NETWORK
PO Box 27947
RICHMOND, VA 23261
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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June 2025
June 2025
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