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RWII33825 CAN Community Health, Inc. (Terminated)
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Main Details
Name
CAN Community Health, Inc.
Subdivision Name
Type
Ryan White Part B
340B ID
RWII33825
Grant Number
X07HA00057
Additional Details
Current Program Status
Terminated
Registration Date
7/11/2014
Participating Start Date
10/1/2014
Participating Approval Date
7/17/2014
Last Recertification Date
2/20/2018
Time Period the Assistance was Received
Termination Date
Termination Reason
1/1/2019
Business decision by the Covered Entity
Contacts
Authorizing Official
CAN Community Health, Inc.
Richard E. Carlisle, President & CEO
(941) 366-0134 Ext: 11111
Primary Contact
CAN Community Health, Inc.
Rishi Patel, President & CEO
(941) 300-4440 Ext: 11127
Addresses
Street Address
3300 US 27 South
Avon Park, FL 33825
Billing Address
CAN Community Health, Inc.
1231 N. Tuttle Avenue
Sarasota, FL 34237
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
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