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CHC26634-01 PHILADELPHIA FIGHT (Active)
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Main Details
Name
PHILADELPHIA FIGHT
Subdivision Name
FIGHT Pediatric and Adolescent Medicine YHEP Clinic
Type
HRSA-Funded Health Center
Site ID
BPS-H80-021967
340B ID
CHC26634-01
Grant Number
H80CS26634
Additional Details
Current Program Status
Active
Registration Date
10/3/2014
Participating Start Date
1/1/2015
Participating Approval Date
10/28/2014
Last Recertification Date
2/19/2025
Contacts
Authorizing Official
Philadelphia FIGHT
Jose Benitez, CEO
(215) 985-4448
Primary Contact
Philadelphia FIGHT
Greg Landistratis, Director of Revenue Cycle
(215) 985-4448
Addresses
Street Address
1207 Chestnut St, Fl 5
Philadelphia, PA 19107-3829
Billing Address
Philadelphia FIGHT Community Health Ceneters
1233 Locust St, 3rd Fl
Philadelphia, PA 19107
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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