340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
CH01058P PROVIDENCE COMMUNITY HEALTH CENTERS, INC., THE (Terminated)
Print
Main Details
Name
PROVIDENCE COMMUNITY HEALTH CENTERS, INC., THE
Subdivision Name
DENTAL CLINIC
Type
HRSA-Funded Health Center
Site ID
BPS-H80-002443
340B ID
CH01058P
Grant Number
H80CS00057
Additional Details
Current Program Status
Terminated
Registration Date
12/2/2010
Participating Start Date
1/1/2011
Participating Approval Date
12/6/2010
Last Recertification Date
2/8/2018
Termination Date
Termination Reason
4/1/2019
Site closure
Contacts
Authorizing Official
PCHC
MERRILL THOMAS, CEO
(401) 444-0400 Ext: 3130
Primary Contact
Providence Community Health Centers
Garrett Clark, CO
(401) 444-0400
Addresses
Street Address
557 Broad St
Providence, RI 02907-1403
Billing Address
THE PROVIDENCE COMMUNITY HEALTH CENTERS, INC.
375 ALLENS AVENUE
PROVIDENCE, RI 02905
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
History
1
Item
0
to
0
of
0
Page:
of 1
Go
Page size:
Change
Comment
Last Updated On
1
Item
0
to
0
of
0
Page:
of 1
Go
Page size:
Change
No records to display.
April 2025
April 2025
week
S
M
T
W
T
F
S
14
30
31
1
2
3
4
5
15
6
7
8
9
10
11
12
16
13
14
15
16
17
18
19
17
20
21
22
23
24
25
26
18
27
28
29
30
1
2
3
19
4
5
6
7
8
9
10
NoFilter
Contains
DoesNotContain
StartsWith
EndsWith
EqualTo
NotEqualTo
GreaterThan
LessThan
GreaterThanOrEqualTo
LessThanOrEqualTo
Between
NotBetween
IsEmpty
NotIsEmpty
IsNull
NotIsNull
Custom
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session