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CH049070 COMMUNITY HEALTH CENTERS OF PINELLAS, INC. (Active)
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Main Details
Name
COMMUNITY HEALTH CENTERS OF PINELLAS, INC.
Subdivision Name
Evara Health - Johnnie Ruth Clarke
Type
HRSA-Funded Health Center
Site ID
BPS-H80-000433
340B ID
CH049070
Grant Number
H80CS00463
Additional Details
Current Program Status
Active
Registration Date
12/1/1992
Participating Start Date
12/1/1992
Participating Approval Date
9/14/2004
Last Recertification Date
2/10/2025
Contacts
Authorizing Official
Community Health Centers of Pinellas, Inc.
Elodie Leigh Dorso, CEO
(727) 824-8100
Primary Contact
Community Health Centers of Pinellas, Inc
Edward Kucher, CRO
(727) 824-8100
Addresses
Street Address
1344 22nd St S
Saint Petersburg, FL 33712-2744
Billing Address
Evara Health
14100 58th Street North
Clearwater, FL 33760
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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NEW ADDRESS, CORRECTED ENTITY NAME, REM. MEDICAID
09/14/2004
May 2025
May 2025
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