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CH08073S METRO COMMUNITY PROVIDER NETWORK, INC. (Terminated)
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Main Details
Name
METRO COMMUNITY PROVIDER NETWORK, INC.
Subdivision Name
STRIDE CHC- Helena
Type
HRSA-Funded Health Center
Site ID
BPS-H80-003291
340B ID
CH08073S
Grant Number
H80CS00217
Additional Details
Current Program Status
Terminated
Registration Date
1/14/2013
Participating Start Date
4/1/2013
Participating Approval Date
2/20/2013
Last Recertification Date
2/11/2021
Termination Date
Termination Reason
7/1/2021
Site closure
Contacts
Authorizing Official
METRO COMMUNITY PROVIDER NETWORK
Ben Wiederholt, CEO
(303) 761-1977 Ext: 1103
Primary Contact
METRO COMMUNITY PROVIDER NETWORK
Paula Alexander, Director of Pharmacy Operations
(303) 360-6276 Ext: 2106
Addresses
Street Address
15501 E 13th Ave
Aurora, CO 80011-7203
Billing Address
STRIDE CHC- Administration
2255 S. Oneida St
Denver, CO 80224-2522
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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