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CH04021P CENTRAL FLORIDA HEALTH CARE, INC. (Active)
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Main Details
Name
CENTRAL FLORIDA HEALTH CARE, INC.
Subdivision Name
CFHC Lake Wales Primary Care
Type
HRSA-Funded Health Center
Site ID
BPS-H80-018217
340B ID
CH04021P
Grant Number
H80CS00423
Additional Details
Current Program Status
Active
Registration Date
7/20/2016
Participating Start Date
10/1/2016
Participating Approval Date
7/27/2016
Last Recertification Date
2/10/2025
Contacts
Authorizing Official
CENTRAL FLORIDA HEALTH CARE INC
ANN CLAUSSEN, CEO
(863) 291-5115
Primary Contact
Central Florida Health Care
Ron M Pickos, Chief Pharmacy Officer
(863) 206-3710
Addresses
Street Address
305 W Central Ave
Lake Wales, FL 33853-4015
Billing Address
CFHC Administrative Office
47 5TH ST NW
WINTER HAVEN, FL 33881-4672
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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