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CH04805D BOND COMMUNITY HEALTH CENTER, INC. (Terminated)
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Main Details
Name
BOND COMMUNITY HEALTH CENTER, INC.
Subdivision Name
Bond-Housing Authority Primary Care Center (BHAPCC)
Type
HRSA-Funded Health Center
Site ID
BPS-H80-015553
340B ID
CH04805D
Grant Number
H80CS28957
Additional Details
Current Program Status
Terminated
Registration Date
8/21/2012
Participating Start Date
1/1/2016
Participating Approval Date
9/19/2012
Last Recertification Date
2/3/2017
Termination Date
Termination Reason
4/1/2018
Business decision by the Covered Entity
Contacts
Authorizing Official
Bond
Temple O. Robinson, CEO
(850) 576-4073 Ext: 207
Primary Contact
Bond Community Health Center
Margrette Fortune, Pharmacy Director
(850) 521-5112 Ext: 266
Addresses
Street Address
1704 JOE LOUIS ST
Tallahassee, FL 32304-1935
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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11/24/15 participating 10/1/12 until terminated 1/1/15 because changed entity type to FQHCLA, reinstated as CH entity type effective 1/1/16
11/24/2015
11/18/14 changed entity type to FQHCLA
11/18/2014
June 2025
June 2025
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