340B Drug Pricing Program Database

Name

BROAD STREET HEALTH CENTER

Subdivision Name

Type

Family Planning (Title X only)

340B ID

FP191217

Grant Number

FPHPA036073

Current Program Status

Terminated

Registration Date

1/1/1998

Participating Start Date

1/1/1998

Participating Approval Date

1/1/1998

Last Recertification Date

5/5/2021

Termination Date
Termination Reason

7/1/2021
Business decision by the Covered Entity

Authorizing Official

Spectrum Health Services, Inc
Shawna L Russell-Young, Chief Compliance Officer
(215) 668-0847

Primary Contact

Spectrum Health Services, Inc.
David B. DeMilio, Chief Financial Officer
(215) 471-2920

Street Address

1415 NORTH BROAD ST
ROOM 224
PHILADELPHIA, PA 19122

Billing Address
Same as Street Address