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CH01216AB GREATER LAWRENCE FAMILY HEALTH CENTER INC (Terminated)
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Main Details
Name
GREATER LAWRENCE FAMILY HEALTH CENTER INC
Subdivision Name
YMCA
Type
HRSA-Funded Health Center
Site ID
BPS-H80-006106
340B ID
CH01216AB
Grant Number
H80CS00314
Additional Details
Current Program Status
Terminated
Registration Date
7/15/2014
Participating Start Date
10/1/2014
Participating Approval Date
7/21/2014
Last Recertification Date
2/23/2023
Termination Date
Termination Reason
4/1/2024
Business decision by the Covered Entity
Contacts
Authorizing Official
Greater Lawrence Family Health Center
Maria Coppenrath, SVP, CFO
(978) 725-7400 Ext: 6667
Primary Contact
Greater Lawrence Family Health Center
Danielle McManus, 340B Program Manager
(978) 689-6646
Addresses
Street Address
40 Lawrence St
Lawrence, MA 01840-1412
Billing Address
Greater Lawrence Family Health Center
1 Griffin Brook Drive Suite, 101
Methuen, MA 01844
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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