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CHC12871-01 GREATER PRINCE WILLIAM COMMUNITY HEALTH CENTER, INC. (Active)
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Main Details
Name
GREATER PRINCE WILLIAM COMMUNITY HEALTH CENTER, INC.
Subdivision Name
Evergreen Terrace
Type
HRSA-Funded Health Center
Site ID
BPS-H80-013112
340B ID
CHC12871-01
Grant Number
H80CS12871
Additional Details
Current Program Status
Active
Registration Date
4/15/2014
Participating Start Date
7/1/2014
Participating Approval Date
4/18/2014
Last Recertification Date
2/19/2025
Contacts
Authorizing Official
Greater Prince William Community Health Center
Mark Meye, Chief Executive Director
(703) 680-6524
Primary Contact
Greater Prince William Community Health Center
Hunter Peterson, Chief Compliance Officer
(703) 680-7950 Ext: 3999
Addresses
Street Address
9705 Liberia Ave
Manassas, VA 20110-1743
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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