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CH072110A Charles Drew Health Center Inc (Terminated)
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Main Details
Name
Charles Drew Health Center Inc
Subdivision Name
Charles Drew Health Center, Inc. at Siena Francis House
Type
HRSA-Funded Health Center
Site ID
BPS-H80-002440
340B ID
CH072110A
Grant Number
H80CS00438
Additional Details
Current Program Status
Terminated
Registration Date
4/4/2013
Participating Start Date
7/1/2013
Participating Approval Date
5/22/2013
Last Recertification Date
2/14/2019
Termination Date
Termination Reason
4/1/2020
Site closure
Contacts
Authorizing Official
Charles Drew Health Center, Inc.
Kenny D. McMorris, Chief Executive Officer
(402) 457-1245
Primary Contact
Charles Drew Health Center, Inc.
Wayne L Tate, Sr. Director of Pharmacy Services
(402) 810-9806
Addresses
Street Address
1111 N 17th St.
Omaha, NE 68102-4102
Billing Address
Charles Drew Health Center, Inc.
2915 Grant St
Omaha, NE 68111
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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