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CH01080G FAMILY HEALTH CENTER OF WORCESTER, INC. (Terminated)
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Main Details
Name
FAMILY HEALTH CENTER OF WORCESTER, INC.
Subdivision Name
Family Health Center - Southbridge Family Medicine
Type
HRSA-Funded Health Center
Site ID
BPS-H80-015369
340B ID
CH01080G
Grant Number
H80CS00452
Additional Details
Current Program Status
Terminated
Registration Date
1/5/2016
Participating Start Date
4/1/2016
Participating Approval Date
1/12/2016
Last Recertification Date
2/6/2024
Termination Date
Termination Reason
10/1/2024
Site closure
Contacts
Authorizing Official
Family Health Center of Worcester
Louis Arthur Brady, CEO
(617) 519-3117
Primary Contact
Family Health Center of Worcester
Muhammad Xhemali, Pharmacy Manager
(508) 340-2244
Addresses
Street Address
29 Orchard Street
Southbridge, MA 01550-4003
Billing Address
FAMILY HEALTH CENTER OF WORCESTER,INC.
26 QUEEN STREET
WORCESTER, MA 01610
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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