Covered Entity Details

CH01081U Southwest Community Health Center, Inc. (Active)

Main Details

Name

Southwest Community Health Center, Inc.

Subdivision Name

Roosevelt School School Based Health Center

Type

HRSA-Funded Health Center

Site ID

BPS-H80-017002

340B ID

CH01081U

Grant Number

H80CS00613

Additional Details

Current Program Status

Active

Registration Date

4/5/2019

Participating Start Date

4/11/2019

Participating Approval Date

4/10/2019

Last Recertification Date

2/10/2025

Contacts

Authorizing Official

South-West Community Health Center, Inc.
Mollie Melbourne, President/CEO
(203) 332-3501

Primary Contact

Southwest Community Health center,Inc
Naila Haroon, Manager 340 B Program & Credentialing
(203) 332-3564

Addresses

Street Address

680 Park Ave
Bridgeport, CT 06604-4610

Billing Address

Southwest CHC`
46 Albion Street
Bridgeport, CT 06605

Comment	Last Updated On
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1 Item 1 to 2 of 2 Page: of 1 Page size:
Filter by Comment Filter by Comment Type Filter by Last Updated By Open the calendar popup. Participating from effective date (7/1/2016) until terminated effective date (04/01/2019), reinstatement effective date (04/11/2019)	04/11/2019
Participating from effective date (7/1/2016) until terminated effective date (04/01/2019), reinstatement effective date (07/01/2019)	04/10/2019

340B Drug Pricing Program Database