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CH041899C PRIMARY CARE MEDICAL SERVICES OF POINCIANA, INC. (Active)
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Main Details
Name
PRIMARY CARE MEDICAL SERVICES OF POINCIANA, INC.
Subdivision Name
Osceola Community Health Services at St. Cloud
Type
HRSA-Funded Health Center
Site ID
BPS-H80-019423
340B ID
CH041899C
Grant Number
H80CS30749
Additional Details
Current Program Status
Active
Registration Date
4/15/2013
Participating Start Date
7/1/2013
Participating Approval Date
6/6/2013
Last Recertification Date
2/11/2025
Contacts
Authorizing Official
Primary Care Medical Service of Poinciana
Belinda Johnson-Cornett, CEO
(407) 414-9760
Primary Contact
Osceola Community Health Services
Tiffany Jordan, Pharmacy Manager/340B Manager
(407) 943-8631
Addresses
Street Address
1050 Grape Ave
Saint Cloud, FL 34769-3965
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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May 2025
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