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CHC28344-01 BANYAN COMMUNITY HEALTH CENTER, INC. (Active)
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Main Details
Name
BANYAN COMMUNITY HEALTH CENTER, INC.
Subdivision Name
Banyan Community Health Center 3850 Miami
Type
HRSA-Funded Health Center
Site ID
BPS-H80-015115
340B ID
CHC28344-01
Grant Number
H80CS28344
Additional Details
Current Program Status
Active
Registration Date
10/12/2015
Participating Start Date
1/1/2016
Participating Approval Date
10/22/2015
Last Recertification Date
2/12/2025
Contacts
Authorizing Official
Banyan Health Systems
Gabriela Gutierrez, VP of Integrated Outpatient Services
(786) 239-1846
Primary Contact
Banyan Health SystemS
Anabel Enriquez, Pharmacy Director
(305) 442-1732
Addresses
Street Address
3850 W FLAGLER ST
MIAMI, FL 33134-1604
Billing Address
Banyan Community Health Center
2300 NW 89th Pl
Doral, FL 33172
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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