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CH04175Q SUNCOAST COMMUNITY HEALTH CENTERS, INC. (Active)
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Main Details
Name
SUNCOAST COMMUNITY HEALTH CENTERS, INC.
Subdivision Name
Palm River Community Health Center
Type
HRSA-Funded Health Center
Site ID
BPS-H80-013638
340B ID
CH04175Q
Grant Number
H80CS00541
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
2/14/2025
Contacts
Authorizing Official
Suncoast Community Health Centers, Inc.
Bradley Herremans, CEO
(813) 653-6268
Primary Contact
Suncoast Community Health Centers, Inc.
Miosotis Peguero, Analyst – Finance & Pharmacy Compliance
(813) 349-7998
Addresses
Street Address
7728 PALM RIVER RD
TAMPA, FL 33619-4215
Billing Address
Suncoast Community Health Centers, Inc.
P.O. Box 1349
Ruskin, FL 33575
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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June 2025
June 2025
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