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CH05332AC SIHF Healthcare (Terminated)
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Main Details
Name
SIHF Healthcare
Subdivision Name
SIHF Healthcare - Children's Medical
Type
HRSA-Funded Health Center
Site ID
BPS-H80-010444
340B ID
CH05332AC
Grant Number
H80CS00195
Additional Details
Current Program Status
Terminated
Registration Date
6/1/2011
Participating Start Date
7/1/2011
Participating Approval Date
6/1/2011
Last Recertification Date
2/14/2024
Termination Date
Termination Reason
7/1/2024
Site closure
Contacts
Authorizing Official
SIHF Healthcare
Larry McCulley, President
(618) 332-0694 Ext: 155
Primary Contact
SIHF Healthcare
Patrice M Howard, Senior Vice President
(618) 332-0694
Addresses
Street Address
2810 Frank Scott Pkwy W
Belleville, IL 62223-5007
Billing Address
SIHF Healthcare
2041 Goose Lake Road
Sauget, IL 62206
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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