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CH01058R PROVIDENCE COMMUNITY HEALTH CENTERS, INC., THE (Terminated)
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Main Details
Name
PROVIDENCE COMMUNITY HEALTH CENTERS, INC., THE
Subdivision Name
The Providence Community Health Centers at Chad Brown
Type
HRSA-Funded Health Center
Site ID
BPS-H80-011048
340B ID
CH01058R
Grant Number
H80CS00057
Additional Details
Current Program Status
Terminated
Registration Date
7/8/2015
Participating Start Date
10/1/2015
Participating Approval Date
7/14/2015
Last Recertification Date
2/7/2017
Termination Date
Termination Reason
4/1/2018
Site closure
Contacts
Authorizing Official
PCHC
MERRILL THOMAS, CEO
(401) 444-0400 Ext: 3130
Primary Contact
Providence Community Health Centers
Garrett Clark, CO
(401) 444-0400
Addresses
Street Address
285A Chad Brown St
Providence, RI 02908-3102
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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