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CH051102F PROGRESSIVE COMMUNITY HEALTH CENTERS, INC (Terminated)
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Main Details
Name
PROGRESSIVE COMMUNITY HEALTH CENTERS, INC
Subdivision Name
Kilbourn Avenue Health Center
Type
HRSA-Funded Health Center
Site ID
BPS-H80-017690
340B ID
CH051102F
Grant Number
H80CS00751
Additional Details
Current Program Status
Terminated
Registration Date
7/7/2016
Participating Start Date
10/1/2016
Participating Approval Date
7/28/2016
Last Recertification Date
1/31/2020
Termination Date
Termination Reason
4/1/2021
Site closure
Contacts
Authorizing Official
Progressive Community Health Centers, Inc.
JENNI SEVENICH, CEO
(414) 934-9465
Primary Contact
Progressive Community Health Centers
Barbara Zak, COO
(414) 935-8000 Ext: 361
Addresses
Street Address
1218 W. Kilbourn Avenue
Milwaukee, WI 53233-1330
Billing Address
Progressive Community Health Centers
3522 W Lisbon Avenue
Milwaukee, WI 53208-1953
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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