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CHC08772-13 GRACEMED HEALTH CLINIC, INC. (Active)
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Main Details
Name
GRACEMED HEALTH CLINIC, INC.
Subdivision Name
GraceMed Virginia & George Ablah Family Clinic
Type
HRSA-Funded Health Center
Site ID
BPS-H80-017563
340B ID
CHC08772-13
Grant Number
H80CS08772
Additional Details
Current Program Status
Active
Registration Date
10/1/2016
Participating Start Date
1/1/2017
Participating Approval Date
10/7/2016
Last Recertification Date
2/14/2025
Contacts
Authorizing Official
GraceMed Health Clinic
Julie Elder, CEO
(316) 866-2000 Ext: 2066
Primary Contact
GraceMed Health Clinic
David Wuthnow, CFO
(316) 866-2049
Addresses
Street Address
3417 S Meridian Avenue
Wichita, KS 67217
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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April 2025
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