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CH05084T FAMILY HEALTH CENTER OF MARSHFIELD INC (Active)
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Main Details
Name
FAMILY HEALTH CENTER OF MARSHFIELD INC
Subdivision Name
FAMILY HEALTH CENTER-PARK FALLS DENTAL CENTER
Type
HRSA-Funded Health Center
Site ID
BPS-H80-002023
340B ID
CH05084T
Grant Number
H80CS00792
Additional Details
Current Program Status
Active
Registration Date
7/8/2015
Participating Start Date
10/1/2015
Participating Approval Date
7/14/2015
Last Recertification Date
2/10/2025
Contacts
Authorizing Official
Family Health Center of Marshfield, Inc
Greg Nycz, Chief Executive Officer
(800) 942-5420
Primary Contact
Family Health Center of Marshfield, Inc
Xin Ruppel, Director of Pharmacy Services
(800) 942-5420
Addresses
Street Address
75 Sherry Ave
Park Falls, WI 54552-1468
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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May 2025
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