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CH01199F BLACKSTONE VALLEY COMMUNITY HEALTH CARE, INC. (Terminated)
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Main Details
Name
BLACKSTONE VALLEY COMMUNITY HEALTH CARE, INC.
Subdivision Name
BVCHC Women's Health, Vision, and Specialty Services
Type
HRSA-Funded Health Center
Site ID
BPS-H80-017775
340B ID
CH01199F
Grant Number
H80CS00154
Additional Details
Current Program Status
Terminated
Registration Date
7/1/2016
Participating Start Date
10/1/2016
Participating Approval Date
7/26/2016
Last Recertification Date
1/31/2019
Termination Date
Termination Reason
4/1/2020
Business decision by the Covered Entity
Contacts
Authorizing Official
BVCHC, Inc.
Raymond Joseph Lavoie, EXECUTIVE DIRECTOR
(401) 729-5235
Primary Contact
Blackstone Valley Community Health Care
Sandra Pardus, CFO
(401) 729-0080 Ext: 115
Addresses
Street Address
42 Park Pl
Pawtucket, RI 02860-4010
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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June 2025
June 2025
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