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CH051833J Heartland Community Health Clinic DBA: Heartland Health Services (Active)
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Main Details
Name
Heartland Community Health Clinic DBA: Heartland Health Services
Subdivision Name
Knoxville
Type
HRSA-Funded Health Center
Site ID
BPS-H80-031043
340B ID
CH051833J
Grant Number
H80CS02457
Additional Details
Current Program Status
Active
Registration Date
7/10/2014
Participating Start Date
10/1/2014
Participating Approval Date
7/22/2014
Last Recertification Date
2/10/2025
Contacts
Authorizing Official
Heartland Health Services
Dewitt Harrell, CEO
(309) 680-7657
Primary Contact
Heartland Health Services
Tony Bartlett, CFO
(309) 680-7612
Addresses
Street Address
1800 N Knoxville Ave Ste A
Peoria, IL 61603
Billing Address
Heartland Health Services
2214 N. University Street
Peoria, IL 61604
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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