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CH10717A PENINSULA COMMUNITY HEALTH SERVICES OF ALASKA, INC. (Active)
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Main Details
Name
PENINSULA COMMUNITY HEALTH SERVICES OF ALASKA, INC.
Subdivision Name
Peninsula Community Health Services of Alaska
Type
HRSA-Funded Health Center
Site ID
BPS-H80-002461
340B ID
CH10717A
Grant Number
H80CS01139
Additional Details
Current Program Status
Active
Registration Date
7/1/2015
Participating Start Date
10/1/2015
Participating Approval Date
8/13/2015
Last Recertification Date
2/19/2025
Contacts
Authorizing Official
Peninsula Community Health Services of AK
Benjamin Wright, Chief Executive Officer
(907) 260-7314
Primary Contact
Peninsula Community Health Services
Michelle J McKay, 340B Program Coordinator
(907) 260-7372
Addresses
Street Address
230 East Marydale Ave
SOLDOTNA, AK 99669-7524
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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