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FP188225 NEPA COMMUNITY HEALTHCARE (Terminated)
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Main Details
Name
NEPA COMMUNITY HEALTHCARE
Subdivision Name
HALLSTEAD FP CLINIC
Type
Family Planning (Title X only)
340B ID
FP188225
Grant Number
FPHPA036053
Additional Details
Current Program Status
Terminated
Registration Date
1/1/1998
Participating Start Date
1/1/1998
Participating Approval Date
11/26/2008
Last Recertification Date
5/12/2021
Termination Date
Termination Reason
7/1/2022
Business decision by the Covered Entity
Contacts
Authorizing Official
B-K HEALTH CENTER INC.
Mary W. Wetherall, CEO
(570) 278-5161
Primary Contact
B-K HEALTH CENTER INC. D/B/A NEPA COMMUNITY HEALTH CARE
Rebecca Dixon, Compliance Officer
(570) 278-7521
Addresses
Street Address
25066 STATE ROUTE 11
HALLSTEAD, PA 18822
Billing Address
B-K Health Center d/b/a NEPA Community Health Care
498 S. Main Street
Suite D
Montrose, PA 18801
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
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3/18/10 ADDED BILL TO; 2/5/10 UPDATED MEDICAID# (WAS 1723160); 4/13/09 UPDATED ADDR (WAS 1036 MOUNTAIN VIEW PLZ); 11/26/08 NAME CHANGE (WAS BARNES KASSON HEALTH CENTER INC)
02/10/2012
3/18/10 ADDED BILL TO; 2/5/10 UPDATED MEDICAID# (WAS 1723160); 4/13/09 UPDATED ADDR (WAS 1036 MOUNTAIN VIEW PLZ); 11/26/08 NAME CHANGE (WAS BARNES KASSON HEALTH CENTER INC)
02/05/2010
3/18/10 ADDED BILL TO; 2/5/10 UPDATED MEDICAID# (WAS 1723160); 4/13/09 UPDATED ADDR (WAS 1036 MOUNTAIN VIEW PLZ); 11/26/08 NAME CHANGE (WAS BARNES KASSON HEALTH CENTER INC)
02/05/2010
May 2025
May 2025
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