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CHC29010-02 UPHAMS CORNER HEALTH COMMITTEE, INC. (Active)
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Main Details
Name
UPHAMS CORNER HEALTH COMMITTEE, INC.
Subdivision Name
Upham's Corner Health Center - Business & Human Resources Office
Type
HRSA-Funded Health Center
Site ID
BPS-H80-015605
340B ID
CHC29010-02
Grant Number
H80CS29010
Additional Details
Current Program Status
Active
Registration Date
10/14/2015
Participating Start Date
1/1/2016
Participating Approval Date
10/22/2015
Last Recertification Date
2/10/2025
Contacts
Authorizing Official
Upham's Corner Health Committee, Inc.
Jagdeep Trivedi, CEO
(617) 287-8000 Ext: 8131
Primary Contact
Upham's Corner Health Committee, Inc.
Kerry Mitza, Compliance Manager
(617) 287-8000 Ext: 8030
Addresses
Street Address
500 Columbia Rd
Dorchester, MA 02125-2322
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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