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CH07055AG PRIMARY HEALTH CARE INC (Terminated)
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Main Details
Name
PRIMARY HEALTH CARE INC
Subdivision Name
Primary Health Care, Inc. - Homeless Advocacy Program
Type
HRSA-Funded Health Center
Site ID
BPS-H80-018643
340B ID
CH07055AG
Grant Number
H80CS00715
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
2/8/2021
Termination Date
Termination Reason
4/1/2022
Other
Contacts
Authorizing Official
Primary Health Care
Kelly Huntsman, CEO
(515) 248-1441
Primary Contact
Primary Health Care
Heidi Price-Eastman, Pharmacy Director
(515) 248-1558
Addresses
Street Address
1200 University Ave.
110A
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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