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CH093157A LANA'I COMMUNITY HEALTH CENTER (Active)
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Main Details
Name
LANA'I COMMUNITY HEALTH CENTER
Subdivision Name
Lanai Community Health Center
Type
HRSA-Funded Health Center
Site ID
BPS-H80-014457
340B ID
CH093157A
Grant Number
H80CS08775
Additional Details
Current Program Status
Active
Registration Date
4/1/2015
Participating Start Date
7/1/2015
Participating Approval Date
4/15/2015
Last Recertification Date
2/10/2025
Contacts
Authorizing Official
Lanai Community Health Center
Jacey Laborte, Executive Director
(808) 565-6919
Primary Contact
Lanai Community Health Center
Jared Medeiros, Associate Medical Direcctor
(808) 565-6919
Addresses
Street Address
333 Sixth Street
Lanai CIty, HI 96763-0142
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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April 2025
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