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CHC26567-09 MERIDIAN SERVICES CORP (Terminated)
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Main Details
Name
MERIDIAN SERVICES CORP
Subdivision Name
Meridian Health Services Richmond
Type
HRSA-Funded Health Center
Site ID
BPS-H80-014235
340B ID
CHC26567-09
Grant Number
H80CS26567
Additional Details
Current Program Status
Terminated
Registration Date
1/4/2016
Participating Start Date
4/1/2016
Participating Approval Date
1/12/2016
Last Recertification Date
2/9/2018
Termination Date
Termination Reason
4/1/2018
Site closure
Contacts
Authorizing Official
Meridian Health Services
Amelia Clark, VP Community Health
(765) 254-5102
Primary Contact
Meridian Health Services
Lori Mathis, Director of Community Health
(765) 730-0793
Addresses
Street Address
16 SW 5TH ST
RICHMOND, IN 47374-4101
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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