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CHC24136-00 UNITED FAMILY PRACTICE HEALTH CENTER (Active)
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Main Details
Name
UNITED FAMILY PRACTICE HEALTH CENTER
Subdivision Name
United Family Medicine
Type
HRSA-Funded Health Center
Site ID
BPS-H80-011845
340B ID
CHC24136-00
Grant Number
H80CS24136
Additional Details
Current Program Status
Active
Registration Date
2/28/2013
Participating Start Date
4/1/2013
Participating Approval Date
3/1/2013
Last Recertification Date
2/18/2025
Contacts
Authorizing Official
United Family Practice Health Center
Lori A Zook, CFO
(651) 206-7294
Primary Contact
United Family Practice Health Center
Carmel White, Chief of Staff
(651) 758-9500
Addresses
Street Address
1026 7th St W
Saint Paul, MN 55102-3828
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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3/1/13 Formerly enrolled as an FQHCLA (FQHCLA162), received grant funding so entity type had to be changed, the site is continuously eligible for discounted drugs (FQHCLA162 is eligible thru 3/31/13, CHC24136-00 is eligible starting 4/1/13)
03/01/2013
April 2025
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