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FP023514 HEALTH IMPERATIVES, INC (Terminated)
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Main Details
Name
HEALTH IMPERATIVES, INC
Subdivision Name
FP PROGRAM
Type
Family Planning (Title X only)
340B ID
FP023514
Grant Number
FPHPA016029
Additional Details
Current Program Status
Terminated
Registration Date
1/1/1998
Participating Start Date
1/1/1998
Participating Approval Date
1/1/1998
Last Recertification Date
5/28/2019
Termination Date
Termination Reason
10/1/2019
Change of covered entity type (non-hospital)
Contacts
Authorizing Official
Health Imperatives
Emily Gold, Director of Reproductive Health Services
(508) 274-6541
Primary Contact
Health Imperatives
Jessica Cisternelli, Director of Operations
(508) 367-1963
Addresses
Street Address
942 WEST CHESTNUT ST
BROCKTON, MA 02301
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
History
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4/10/12-fixed mispelling of primary contact's last name; 4/4/12-change PC (Was Robin Cleveland) and phone number for PC (was 508-427-1603); 2/14/12 Added NPI # 1; 2/2/10 UPDATED ENTITY NAME (WAS HEALTH CARE OF SE MA INC);
04/10/2012
4/4/12-change PC (Was Robin Cleveland) and phone number for PC (was 508-427-1603); 2/14/12 Added NPI # 1; 2/2/10 UPDATED ENTITY NAME (WAS HEALTH CARE OF SE MA INC);
04/04/2012
2/14/12 Added NPI # 1; 2/2/10 UPDATED ENTITY NAME (WAS HEALTH CARE OF SE MA INC);
02/14/2012
2/2/10 UPDATED ENTITY NAME (WAS HEALTH CARE OF SE MA INC);
02/02/2010
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