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CH08073AC METRO COMMUNITY PROVIDER NETWORK, INC. (Terminated)
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Main Details
Name
METRO COMMUNITY PROVIDER NETWORK, INC.
Subdivision Name
STRIDE CHC- Jefferson Plaza Family Health at Jefferson Center
Type
HRSA-Funded Health Center
Site ID
BPS-H80-017725
340B ID
CH08073AC
Grant Number
H80CS00217
Additional Details
Current Program Status
Terminated
Registration Date
10/7/2016
Participating Start Date
1/1/2017
Participating Approval Date
10/24/2016
Last Recertification Date
2/11/2021
Termination Date
Termination Reason
4/1/2022
Site closure
Contacts
Authorizing Official
STRIDE Community Health Center
Kelli Clifton Ogunsanya, Chief Operating Officer
(202) 617-0067
Primary Contact
METRO COMMUNITY PROVIDER NETWORK
Paula Alexander, Director of Pharmacy Operations
(303) 360-6276 Ext: 2106
Addresses
Street Address
3595 S Teller St
Lakewood, CO 80235-2014
Billing Address
STRIDE CHC- Administration
2255 S. Oneida St
Denver, CO 80224-2522
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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