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CHC26562-00 HEARTLAND HEALTH CENTER, INC. (Terminated)
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Main Details
Name
HEARTLAND HEALTH CENTER, INC.
Subdivision Name
Heartland Health Center, Inc.
Type
HRSA-Funded Health Center
Site ID
BPS-H80-013758
340B ID
CHC26562-00
Grant Number
H80CS26562
Additional Details
Current Program Status
Terminated
Registration Date
7/1/2014
Participating Start Date
10/1/2014
Participating Approval Date
7/22/2014
Last Recertification Date
2/1/2022
Termination Date
Termination Reason
7/1/2022
Site closure
Contacts
Authorizing Official
Heartland Health Center
Tami Smith, CEO
(308) 675-4223
Primary Contact
Heartland Health Center
Tracey Lukasiewicz, Finance Director
(308) 675-4218
Addresses
Street Address
3307 W CAPITAL AVE
GRAND ISLAND, NE 68803-1334
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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