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CHC26634-00 PHILADELPHIA FIGHT (Active)
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Main Details
Name
PHILADELPHIA FIGHT
Subdivision Name
Philadelphia FIGHT Jonathan Lax Treatment Center
Type
HRSA-Funded Health Center
Site ID
BPS-H80-013140
340B ID
CHC26634-00
Grant Number
H80CS26634
Additional Details
Current Program Status
Active
Registration Date
1/15/2014
Participating Start Date
4/1/2014
Participating Approval Date
2/25/2014
Last Recertification Date
2/19/2025
Contacts
Authorizing Official
Philadelphia FIGHT
Jose Benitez, CEO
(215) 985-4448
Primary Contact
Philadelphia FIGHT
Greg Landistratis, Director of Revenue Cycle
(215) 985-4448
Addresses
Street Address
1233 Locust Street Floor 5, Suite 500 and Floor 4, Suite 400
Philadelphia, PA 19107-5453
Billing Address
Philadelphia FIGHT Community Health Centers
1233 Locust Street, 3rd floor
Philadelphia, PA 19107
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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