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CH042063A SULZBACHER, I M CENTER FOR THE HOMELESS INC, THE (Active)
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Main Details
Name
SULZBACHER, I M CENTER FOR THE HOMELESS INC, THE
Subdivision Name
Beaches Community Healthcare - A Sulzbacher Center Clinic
Type
HRSA-Funded Health Center
Site ID
BPS-H80-007875
340B ID
CH042063A
Grant Number
H80CS00305
Additional Details
Current Program Status
Active
Registration Date
10/5/2015
Participating Start Date
1/1/2016
Participating Approval Date
10/21/2015
Last Recertification Date
2/13/2025
Contacts
Authorizing Official
I.M. Sulzbacher Center for the Homeless, Inc.
Cindy Funkhouser, CEO
(904) 394-8069
Primary Contact
I.M. Sulzbacher Center for the Homeless, Inc.
Andy Barber, Senior Director of Program Funding
(904) 394-8083
Addresses
Street Address
850 Sixth Avenue STE 500
Jacksonville Beach, FL 32250
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
April 2025
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