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CH04907L COMMUNITY HEALTH CENTERS OF PINELLAS, INC. (Active)
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Main Details
Name
COMMUNITY HEALTH CENTERS OF PINELLAS, INC.
Subdivision Name
Evara Health - Clearwater Dental
Type
HRSA-Funded Health Center
Site ID
BPS-H80-014191
340B ID
CH04907L
Grant Number
H80CS00463
Additional Details
Current Program Status
Active
Registration Date
1/12/2015
Participating Start Date
4/1/2015
Participating Approval Date
1/20/2015
Last Recertification Date
2/10/2025
Contacts
Authorizing Official
Community Health Centers of Pinellas, Inc.
Elodie Leigh Dorso, CEO
(727) 824-8100
Primary Contact
Community Health Centers of Pinellas, Inc
Edward Kucher, CRO
(727) 824-8100
Addresses
Street Address
702 Jasmine Way
Clearwater, FL 33756-3951
Billing Address
CHCP - Evara Health
14100 58th Street North
Clearwater, FL 33760
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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