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CH08410E HIGH PLAINS COMMUNITY HEALTH CENTER (Terminated)
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Main Details
Name
HIGH PLAINS COMMUNITY HEALTH CENTER
Subdivision Name
High Plains Wiley Clinic
Type
HRSA-Funded Health Center
Site ID
BPS-H80-012728
340B ID
CH08410E
Grant Number
H80CS00214
Additional Details
Current Program Status
Terminated
Registration Date
10/15/2013
Participating Start Date
1/1/2014
Participating Approval Date
10/28/2013
Last Recertification Date
2/22/2022
Termination Date
Termination Reason
10/1/2022
Site closure
Contacts
Authorizing Official
High Plains Community Health Center
shae lynne emick, Chief Operations Officer
(719) 336-0261 Ext: 1146
Primary Contact
High Plains Community Health Center
BETH PARKER, COMPLIANCE OFFICER
(719) 336-0261 Ext: 151
Addresses
Street Address
303 Main
Wiley, CO 81092
Billing Address
High Plains CHC
201 Kendall Drive
Lamar, CO 81052-3939
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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