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CH03320F GREATER PHILADELPHIA HEALTH ACTION, INCORPORATED (Active)
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Main Details
Name
GREATER PHILADELPHIA HEALTH ACTION, INCORPORATED
Subdivision Name
Greater Philadelphia Health Action, Inc. Dental and Behavioral Healthcare
Type
HRSA-Funded Health Center
Site ID
BPS-H80-009275
340B ID
CH03320F
Grant Number
H80CS00708
Additional Details
Current Program Status
Active
Registration Date
3/14/2012
Participating Start Date
7/1/2012
Participating Approval Date
6/14/2012
Last Recertification Date
2/10/2025
Contacts
Authorizing Official
Greater Philadelphia Health Action
Brian Clark, CEO
(215) 925-2400 Ext: 1060
Primary Contact
GPHA
Kern Haynes Sr., Chief Financial Officer
(215) 925-2400 Ext: 1001
Addresses
Street Address
5501 Woodland Ave
Philadelphia, PA 19143-5607
Billing Address
Greater Philadelphia Health Action
1401 S. 31 st.
Philadelphia, PA 19146
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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3/16/12 - Reviewed registration. 4/18/12 processed registration and forwarded to IS.
04/18/2012
June 2025
June 2025
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