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CHC08784-09 LAKES COMMUNITY HEALTH CENTER, INC., THE (Terminated)
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Main Details
Name
LAKES COMMUNITY HEALTH CENTER, INC., THE
Subdivision Name
NorthLakes - 212 W Main, Ashland
Type
HRSA-Funded Health Center
Site ID
BPS-H80-018284
340B ID
CHC08784-09
Grant Number
H80CS08784
Additional Details
Current Program Status
Terminated
Registration Date
10/7/2016
Participating Start Date
1/1/2017
Participating Approval Date
10/21/2016
Last Recertification Date
1/31/2017
Termination Date
Termination Reason
4/1/2017
Site closure
Contacts
Authorizing Official
NorthLakes Community Clinic
Jason Akl, COO
(715) 372-5001 Ext: 1211
Primary Contact
The Lakes Community Health Center
Christine Dryer, Pharmacy Director
(715) 372-5011
Addresses
Street Address
212 W. Main Street
Ashland, WI 54806
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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