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CH031600 TRI-STATE COMMUNITY HEALTH CENTER (Active)
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Main Details
Name
TRI-STATE COMMUNITY HEALTH CENTER
Subdivision Name
TRI-STATE COMMUNITY HEALTH CENTER, INC.
Type
HRSA-Funded Health Center
Site ID
BPS-H80-003123
340B ID
CH031600
Grant Number
H80CS00069
Additional Details
Current Program Status
Active
Registration Date
12/1/1992
Participating Start Date
12/1/1992
Participating Approval Date
4/22/2005
Last Recertification Date
3/10/2025
Contacts
Authorizing Official
Tri-State Community Health Center
SHEILA DESHONG, COO
(301) 678-5187 Ext: 226
Primary Contact
Tri-State Community Health Center
James Seaver, Director of Clinical Services
(301) 678-5187
Addresses
Street Address
130 W High St
Hancock, MD 21750-1143
Billing Address
Tri-State Community Health Center
109 Rayloc Drive
Hancock, MD 21750
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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MODIFIED ENTITY NAME, 01/24/05 - UPDATED CONTACT INFO, 4/22/05 - ADDED SHIP TO FOR PRE-PACKS ONLY
11/14/2005
April 2025
April 2025
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