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CHC08238-04 CHANGE, INCORPORATED (Active)
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Main Details
Name
CHANGE, INCORPORATED
Subdivision Name
Family Medical Care Community Health Center - Newell
Type
HRSA-Funded Health Center
Site ID
BPS-H80-017702
340B ID
CHC08238-04
Grant Number
H80CS08238
Additional Details
Current Program Status
Active
Registration Date
10/3/2016
Participating Start Date
1/1/2017
Participating Approval Date
10/14/2016
Last Recertification Date
2/11/2025
Contacts
Authorizing Official
CHANGE, Inc.
Lisa Mowry, CEO
(304) 797-7733 Ext: 1311
Primary Contact
CHANGE, Inc.
James Boniey, Director of Program Operations
(304) 797-7733 Ext: 1309
Addresses
Street Address
1151 Washington St
Newell, WV 26050-2605
Billing Address
CHANGE, Inc.
3158 West St
Weirton, WV 26062-4637
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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April 2025
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