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CH051516W GREATER ELGIN FAMILY CARE CENTER (Terminated)
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Main Details
Name
GREATER ELGIN FAMILY CARE CENTER
Subdivision Name
LARKIN HIGH SCHOOL
Type
HRSA-Funded Health Center
Site ID
BPS-H80-005906
340B ID
CH051516W
Grant Number
H80CS00288
Additional Details
Current Program Status
Terminated
Registration Date
1/15/2013
Participating Start Date
4/1/2013
Participating Approval Date
2/15/2013
Last Recertification Date
3/7/2016
Termination Date
Termination Reason
4/1/2016
Site closure
Contacts
Authorizing Official
Greater Family Health
Jason Carey, CFO
(847) 608-6053
Primary Contact
Greater Family Health
Jason Carey, CFO
(847) 608-6053
Addresses
Street Address
1475 Larkin Ave
Elgin, IL 60123-5173
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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