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CH09287F Chiricahua Community Health Centers, Inc. (Terminated)
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Main Details
Name
Chiricahua Community Health Centers, Inc.
Subdivision Name
Chiricahua Community Health Centers Vista Peds
Type
HRSA-Funded Health Center
Site ID
BPS-H80-013846
340B ID
CH09287F
Grant Number
H80CS00696
Additional Details
Current Program Status
Terminated
Registration Date
7/11/2014
Participating Start Date
10/1/2014
Participating Approval Date
7/21/2014
Last Recertification Date
2/29/2016
Termination Date
Termination Reason
4/1/2016
Site closure
Contacts
Authorizing Official
chiricahua Community health center
Gary McPherran, CFO
(520) 642-6851
Primary Contact
chiricahua Community health center
Gary McPherran, CFO
(520) 642-6851
Addresses
Street Address
1590 Paseo San Luis, Ste 102
Sierra Vista, AZ 85635-4783
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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