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CH01058Q PROVIDENCE COMMUNITY HEALTH CENTERS, INC., THE (Active)
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Main Details
Name
PROVIDENCE COMMUNITY HEALTH CENTERS, INC., THE
Subdivision Name
Providence Community Health Centers at North Main Street
Type
HRSA-Funded Health Center
Site ID
BPS-H80-010568
340B ID
CH01058Q
Grant Number
H80CS00057
Additional Details
Current Program Status
Active
Registration Date
5/31/2011
Participating Start Date
7/1/2011
Participating Approval Date
6/1/2011
Last Recertification Date
2/10/2025
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
530 N Main St
Providence, RI 02904-5762
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
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