340B Drug Pricing Program Database

Name

COLLIER HEALTH SERVICES, INC.

Subdivision Name

CHS University of Florida Pediatric Dental Center

Type

HRSA-Funded Health Center

Site ID

BPS-H80-007640

340B ID

CH04170S

Grant Number

H80CS00735

Current Program Status

Terminated

Registration Date

4/13/2016

Participating Start Date

7/1/2016

Participating Approval Date

4/15/2016

Last Recertification Date

3/6/2018

Termination Date
Termination Reason

4/1/2019
Site closure

Authorizing Official

Collier Health Services, Inc., d/b/a Healthcare Network of Southwest Florida
Mike Ellis, President/CEO
(239) 658-3158

Primary Contact

Collier Health Services, Inc., d/b/a Healthcare Network
John Fletcher, Chief Operating Officer & General Counsel
(239) 658-3060

Street Address

7505 Grand Lely Drive
Building L
Naples, FL 34113

Billing Address

Collier Health Services, Inc., d/b/a Healthcare Network of Southwest Florida
1454 Madison Ave W
Immokalee, FL 34142