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CH051102E PROGRESSIVE COMMUNITY HEALTH CENTERS, INC (Active)
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Main Details
Name
PROGRESSIVE COMMUNITY HEALTH CENTERS, INC
Subdivision Name
12th Street Urgent Care
Type
HRSA-Funded Health Center
Site ID
BPS-H80-017614
340B ID
CH051102E
Grant Number
H80CS00751
Additional Details
Current Program Status
Active
Registration Date
7/7/2016
Participating Start Date
10/1/2016
Participating Approval Date
7/28/2016
Last Recertification Date
2/10/2025
Contacts
Authorizing Official
Progressive Community Health Centers (PCHC)
Candice Cole, Chief Executive Officer
(414) 882-2030
Primary Contact
Progressive Community Health Centers
Barbara Zak, COO
(414) 935-8000 Ext: 361
Addresses
Street Address
945 N 12TH ST
MILWAUKEE, WI 53233-1305
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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