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CH04907N COMMUNITY HEALTH CENTERS OF PINELLAS, INC. (Active)
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Main Details
Name
COMMUNITY HEALTH CENTERS OF PINELLAS, INC.
Subdivision Name
Evara Health - Dunedin
Type
HRSA-Funded Health Center
Site ID
BPS-H80-014929
340B ID
CH04907N
Grant Number
H80CS00463
Additional Details
Current Program Status
Active
Registration Date
10/14/2015
Participating Start Date
1/1/2016
Participating Approval Date
10/21/2015
Last Recertification Date
2/10/2025
Contacts
Authorizing Official
Community Health Centers of Pinellas, Inc.
Elodie Leigh Dorso, CEO
(727) 824-8100
Primary Contact
Community Health Centers of Pinellas, Inc
Edward Kucher, CRO
(727) 824-8100
Addresses
Street Address
1721 MAIN ST
DUNEDIN, FL 34698-6402
Billing Address
CHCP - Evara Health
14100 58th Street North
Clearwater, FL 33760
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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