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CH03320G GREATER PHILADELPHIA HEALTH ACTION, INCORPORATED (Active)
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Main Details
Name
GREATER PHILADELPHIA HEALTH ACTION, INCORPORATED
Subdivision Name
AL-ASSIST BEHAVIORAL HEALTH CARE
Type
HRSA-Funded Health Center
Site ID
BPS-H80-003352
340B ID
CH03320G
Grant Number
H80CS00708
Additional Details
Current Program Status
Active
Registration Date
4/1/2016
Participating Start Date
7/1/2016
Participating Approval Date
4/11/2016
Last Recertification Date
2/10/2025
Contacts
Authorizing Official
Greater Philadelphia Health Action
Brian Clark, CEO
(215) 925-2400 Ext: 1060
Primary Contact
GPHA
Kern Haynes Sr., Chief Financial Officer
(215) 925-2400 Ext: 1001
Addresses
Street Address
1401 S 4th St
Philadelphia, PA 19147-5907
Billing Address
Greater Philadelphia Health Action
1401 S 31st St
Philadelphia, PA 19146
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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May 2025
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