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CH05788A WILL COUNTY COMMUNITY HEALTH CENTER (Active)
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Main Details
Name
WILL COUNTY COMMUNITY HEALTH CENTER
Subdivision Name
Mobile Medical and Dental Unit
Type
HRSA-Funded Health Center
Site ID
BPS-H80-010960
340B ID
CH05788A
Grant Number
H80CS00476
Additional Details
Current Program Status
Active
Registration Date
4/5/2016
Participating Start Date
7/1/2016
Participating Approval Date
5/25/2016
Last Recertification Date
3/10/2025
Contacts
Authorizing Official
Will County Community Health Center
Stacy Baumgartner, Chief Executive Officer
(815) 740-7635
Primary Contact
Will County Community Health Center
Phil Jass, Quality Risk Management Program Coordinator
(815) 774-7355
Addresses
Street Address
1106 Neal Avenue
Joliet, IL 60433-2548
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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