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CH05315H COMMUNITY HEALTH IMPROVEMENT CENTER (Terminated)
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Main Details
Name
COMMUNITY HEALTH IMPROVEMENT CENTER
Subdivision Name
Community Health Improvement Center at Decatur Memorial Hospital
Type
HRSA-Funded Health Center
Site ID
BPS-H80-013678
340B ID
CH05315H
Grant Number
H80CS00681
Additional Details
Current Program Status
Terminated
Registration Date
1/7/2015
Participating Start Date
4/1/2015
Participating Approval Date
1/20/2015
Last Recertification Date
1/29/2024
Termination Date
Termination Reason
4/1/2025
Business decision by the Covered Entity
Contacts
Authorizing Official
Crossing Healthcare
Tanya Renee Andricks, CEO
(217) 877-6111
Primary Contact
Crossing Healthcare
Lois Tanner, CFO
(217) 877-6127
Addresses
Street Address
2300 N EDWARD ST
DECATUR, IL 62526-4163
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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May 2025
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