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CH05084AG FAMILY HEALTH CENTER OF MARSHFIELD INC (Active)
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Main Details
Name
FAMILY HEALTH CENTER OF MARSHFIELD INC
Subdivision Name
FAMILY HEALTH CENTER - MENOMONIE DENTAL CENTER
Type
HRSA-Funded Health Center
Site ID
BPS-H80-018124
340B ID
CH05084AG
Grant Number
H80CS00792
Additional Details
Current Program Status
Active
Registration Date
4/4/2016
Participating Start Date
7/1/2016
Participating Approval Date
4/12/2016
Last Recertification Date
2/10/2025
Contacts
Authorizing Official
Family Health Center of Marshfield, Inc
Greg Nycz, Chief Executive Officer
(800) 942-5420
Primary Contact
Family Health Center of Marshfield, Inc
Xin Ruppel, Director of Pharmacy Services
(800) 942-5420
Addresses
Street Address
404 Red Cedar Street
Menomonie, WI 54751-5053
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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May 2025
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