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CH05315J COMMUNITY HEALTH IMPROVEMENT CENTER (Terminated)
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Main Details
Name
COMMUNITY HEALTH IMPROVEMENT CENTER
Subdivision Name
Promise Healthcare at the Community Resource Center
Type
HRSA-Funded Health Center
Site ID
BPS-H80-014147
340B ID
CH05315J
Grant Number
H80CS00681
Additional Details
Current Program Status
Terminated
Registration Date
4/9/2015
Participating Start Date
7/1/2015
Participating Approval Date
4/14/2015
Last Recertification Date
2/12/2016
Termination Date
Termination Reason
10/1/2016
Loss of qualifying grant/support
Contacts
Authorizing Official
Crossing Healthcare
Lois Tanner, CFO
(217) 877-6127
Primary Contact
Crossing Healthcare
Lois Tanner, CFO
(217) 877-6127
Addresses
Street Address
1400 W PARK ST, Building 3
URBANA, IL 61801-2334
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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