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CHC29006-00 WAYNE, COUNTY OF (Terminated)
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Main Details
Name
WAYNE, COUNTY OF
Subdivision Name
Wayne County Community Health Center
Type
HRSA-Funded Health Center
Site ID
BPS-H80-015518
340B ID
CHC29006-00
Grant Number
H80CS29006
Additional Details
Current Program Status
Terminated
Registration Date
10/15/2015
Participating Start Date
1/1/2016
Participating Approval Date
10/23/2015
Last Recertification Date
1/29/2020
Termination Date
Termination Reason
7/1/2020
Loss of qualifying grant/support
Contacts
Authorizing Official
Wayne County Community Health Center
Eric Coulter, Executive Director
(765) 973-9369
Primary Contact
Wayne County Community Health Center
Kimberly Flanigan, Chief Operating Officer
(765) 973-9243
Addresses
Street Address
203 E Main St
Richmond, IN 47374-4208
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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