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CH04327AB EAU CLAIRE COOPERATIVE HEALTH CENTER (Terminated)
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Main Details
Name
EAU CLAIRE COOPERATIVE HEALTH CENTER
Subdivision Name
Innovation Health - Eau Claire
Type
HRSA-Funded Health Center
Site ID
BPS-H80-012337
340B ID
CH04327AB
Grant Number
H80CS00730
Additional Details
Current Program Status
Terminated
Registration Date
7/10/2014
Participating Start Date
10/1/2014
Participating Approval Date
7/22/2014
Last Recertification Date
3/4/2015
Termination Date
Termination Reason
4/1/2016
Site closure
Contacts
Authorizing Official
STUART A. HAMILTON, CEO
(803) 733-5969 Ext: 4125
Primary Contact
Eau Claire Cooperative Health Center, Inc
GRETCHEN BECKHAM, DIRECTOR OF PHARMACY
(803) 603-5737
Addresses
Street Address
4206 N Main St
Columbia, SC 29203-5864
Billing Address
Eau Claire Cooperative Health Centers, Inc
1228 Harden St.
Columbia, SC 29204
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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