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CHC26512-02 PREFERRED FAMILY HEALTHCARE, INCORPORATED (Active)
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Main Details
Name
PREFERRED FAMILY HEALTHCARE, INCORPORATED
Subdivision Name
Quincy Senior and Family Resource Center
Type
HRSA-Funded Health Center
Site ID
BPS-H80-015455
340B ID
CHC26512-02
Grant Number
H80CS26512
Additional Details
Current Program Status
Active
Registration Date
1/13/2016
Participating Start Date
4/1/2016
Participating Approval Date
2/10/2016
Last Recertification Date
2/10/2025
Contacts
Authorizing Official
Preferred Family Healthcare
amanda wosman, VP CHC
(573) 231-2384
Primary Contact
Adult and Child Health
Dhvani Derasari, 340B Program Manager
(682) 559-8205
Addresses
Street Address
639 YORK ST
QUINCY, IL 62301-3963
Billing Address
Preferred Family Healthcare
PO Box 151
Hannibal, MO 63401-0151
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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April 2025
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