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CHC29834-01 PROMISE HEALTHCARE NFP (Active)
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Main Details
Name
PROMISE HEALTHCARE NFP
Subdivision Name
Promise Healthcare Neil St
Type
HRSA-Funded Health Center
Site ID
BPS-H80-035822
340B ID
CHC29834-01
Grant Number
H80CS29834
Additional Details
Current Program Status
Active
Registration Date
7/15/2016
Participating Start Date
10/1/2016
Participating Approval Date
8/16/2016
Last Recertification Date
2/10/2025
Contacts
Authorizing Official
Promise Healthcare Frances Nelson Health Center
Jennifer Henry, Promise Healthcare Executive Director
(217) 403-5401
Primary Contact
Promise Healthcare
Emily McKay, Compliance Specialist and Coordinator
(217) 403-5418
Addresses
Street Address
821 S Neil St
Champaign, IL 61820-3055
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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