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CH04175H SUNCOAST COMMUNITY HEALTH CENTERS, INC. (Terminated)
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Main Details
Name
SUNCOAST COMMUNITY HEALTH CENTERS, INC.
Subdivision Name
SCHC PEDIATRICS
Type
HRSA-Funded Health Center
Site ID
BPS-H80-003082
340B ID
CH04175H
Grant Number
H80CS00541
Additional Details
Current Program Status
Terminated
Registration Date
11/18/2011
Participating Start Date
1/1/2012
Participating Approval Date
12/15/2011
Last Recertification Date
2/19/2018
Termination Date
Termination Reason
4/1/2019
Site closure
Contacts
Authorizing Official
Suncoast Community Health Centers, Inc.
Bradley Herremans, CEO
(813) 653-6268
Primary Contact
Suncoast Community Health Centers, Inc
Jeff Hunt, Pharmacy Director
(813) 349-7959
Addresses
Street Address
502 N Mobley St
Plant City, FL 33563-2904
Billing Address
Suncoast Community Health Centers, Inc.
P.O. Box 1349
Ruskin, FL 33575
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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