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FQHCLA297 URBAN HEALTH INITIATIVES, INC. (Terminated)
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Main Details
Name
URBAN HEALTH INITIATIVES, INC.
Subdivision Name
Urban Health Initiatives
Type
Health Center Program Look-Alike
Site ID
BPS-LAL-011500
340B ID
FQHCLA297
Grant Number
LALCS00130
Additional Details
Current Program Status
Terminated
Registration Date
5/15/2012
Participating Start Date
7/1/2012
Participating Approval Date
6/13/2012
Last Recertification Date
3/3/2015
Termination Date
Termination Reason
7/1/2015
Site closure
Contacts
Authorizing Official
Spectrum Health Services, Inc.
Phyllis B. Cater, President & CEO
(215) 471-2755
Primary Contact
Spectrum Health Services, Inc.
Phyllis B. Cater, President & CEO
(215) 471-2755
Addresses
Street Address
1408 S. Broad Street
Philadelphia, PA 19146
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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6/04/2012 CMS letter provided, eligible
06/04/2012
5/31/2012 called, left a message. appears to be ineligible
05/31/2012
May 2025
May 2025
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