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FP179019 MFHS POTTSVILLE CENTER (Active)
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Main Details
Name
MFHS POTTSVILLE CENTER
Subdivision Name
Type
Family Planning (Title X only)
340B ID
FP179019
Grant Number
FPHPA006505
Additional Details
Current Program Status
Active
Registration Date
1/1/1998
Participating Start Date
1/1/1998
Participating Approval Date
3/18/2010
Last Recertification Date
5/15/2024
Contacts
Authorizing Official
Maternal and Family Health Services
Maria Montoro Edwards, President & CEO
(570) 823-7000
Primary Contact
Maternal and Family Health Services
Shannon Hayward, Chief Operations Officer
(570) 823-7000
Addresses
Street Address
2510 W MARKET ST
POTTSVILLE, PA 17901
Billing Address
MATERNAL & FAMILY HEALTH SERVICES, INC.
15 PUBLIC SQUARE
SUITE 600
WILKES BARRE, PA 18701-1700
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
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2/5/10 UPDATED BILL TO (WAS MFHS POTTSVILLE CENTER, 15 PUBLIC SQUARE, SUITE 600); 2/5/10 UPDATED MEDICAID# (WAS 0720745);
03/18/2010
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