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CH04175K SUNCOAST COMMUNITY HEALTH CENTERS, INC. (Terminated)
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Main Details
Name
SUNCOAST COMMUNITY HEALTH CENTERS, INC.
Subdivision Name
Oakfield Community Health Center
Type
HRSA-Funded Health Center
Site ID
BPS-H80-011894
340B ID
CH04175K
Grant Number
H80CS00541
Additional Details
Current Program Status
Terminated
Registration Date
7/25/2012
Participating Start Date
10/1/2012
Participating Approval Date
8/29/2012
Last Recertification Date
2/13/2017
Termination Date
Termination Reason
4/1/2017
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
1463 Oakfield Dr
Brandon, FL 33511-3899
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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