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CHC11299-00 CODMAN SQUARE HEALTH CENTER, INC (Active)
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Main Details
Name
CODMAN SQUARE HEALTH CENTER, INC
Subdivision Name
Codman Square Health Center
Type
HRSA-Funded Health Center
Site ID
BPS-H80-008168
340B ID
CHC11299-00
Grant Number
H80CS11299
Additional Details
Current Program Status
Active
Registration Date
5/31/2012
Participating Start Date
7/1/2012
Participating Approval Date
6/20/2012
Last Recertification Date
2/26/2025
Contacts
Authorizing Official
Codman Square Health Center
Guy Fish, CEO
(617) 822-8329
Primary Contact
Codman Square Health Center
Tarsha Weaver, Chief Operating Officer
(617) 822-8744
Addresses
Street Address
637 Washington St.
Dorchester, MA 02124-3510
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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April 2025
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