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CH05290K COMMUNITY ACTION COMMITTEE OF PIKE COUNTY, THE (Active)
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Main Details
Name
COMMUNITY ACTION COMMITTEE OF PIKE COUNTY, THE
Subdivision Name
Broadway Street Clinic
Type
HRSA-Funded Health Center
Site ID
BPS-H80-013155
340B ID
CH05290K
Grant Number
H80CS00399
Additional Details
Current Program Status
Active
Registration Date
7/2/2014
Participating Start Date
10/1/2014
Participating Approval Date
7/21/2014
Last Recertification Date
2/13/2025
Contacts
Authorizing Official
CAC of Pike County
Keith Pitts, President and Chief Executive Officer
(216) 770-3409 Ext: 7009
Primary Contact
Community Action Committee of Pike County
Angela Spangler, Vice President, Excellence
(740) 289-2371
Addresses
Street Address
621 Broadway Street
Portsmouth, OH 45662
Billing Address
CAC of Pike Co.
941 Market St
Piketon, OH 45661
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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