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CH07055AJ Primary Health Care, Inc (Active)
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Main Details
Name
Primary Health Care, Inc
Subdivision Name
Primary Health Care - University Dental Clinic
Type
HRSA-Funded Health Center
Site ID
BPS-H80-014471
340B ID
CH07055AJ
Grant Number
H80CS00715
Additional Details
Current Program Status
Active
Registration Date
10/7/2016
Participating Start Date
1/1/2017
Participating Approval Date
10/24/2016
Last Recertification Date
2/11/2025
Contacts
Authorizing Official
Primary Health Care
Nathan Simpson, CEO
(515) 248-1868
Primary Contact
Primary Health Care
Heidi Price-Eastman, Pharmacy Director
(515) 248-1558
Addresses
Street Address
1200 University Ave
100
Des Moines, IA 50314-2343
Billing Address
Primary Health Care, Inc.
1200 University Ave.
200
Des Moines, IA 50314
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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April 2025
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