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FQHCLA150A UNITED COMMUNITY SERVICES INC (Terminated)
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Main Details
Name
UNITED COMMUNITY SERVICES INC
Subdivision Name
BHS Site - Satellite
Type
Health Center Program Look-Alike
Site ID
BPS-LAL-009807
340B ID
FQHCLA150A
Grant Number
LALCS00072
Additional Details
Current Program Status
Terminated
Registration Date
1/14/2013
Participating Start Date
4/1/2013
Participating Approval Date
2/27/2013
Last Recertification Date
2/19/2015
Termination Date
Termination Reason
1/1/2016
Change of covered entity type
Contacts
Authorizing Official
Nancy Cowser, Sr VP Strategy
(860) 822-4161
Primary Contact
Nancy Cowser, Sr VP Strategy
(860) 822-4161
Addresses
Street Address
212 Upton Road
Suite C
Colchester, CT 06415
Billing Address
UCFS
34 E Town St
Norwich, CT 06360
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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