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CH01182P THUNDERMIST HEALTH CENTER (Active)
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Main Details
Name
THUNDERMIST HEALTH CENTER
Subdivision Name
Thundermist Special Populations Providence
Type
HRSA-Funded Health Center
Site ID
BPS-H80-015368
340B ID
CH01182P
Grant Number
H80CS00454
Additional Details
Current Program Status
Active
Registration Date
1/7/2016
Participating Start Date
4/1/2016
Participating Approval Date
2/12/2016
Last Recertification Date
2/21/2025
Contacts
Authorizing Official
Thundermist Health Center
Addy F Kane, Chief Financial Officer
(401) 767-4100
Primary Contact
Thundermist Health Center
Elaine Warburg, 340B Manager
(401) 767-4100 Ext: 4307
Addresses
Street Address
557 Broad Street
Providence, RI 02907-1403
Billing Address
THUNDERMIST HEALTH CENTER
25 JOHN A CUMMINGS WAY
WOONSOCKET, RI 02895
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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