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CH05911F FRIEND FAMILY HEALTH CENTER, INC. (Terminated)
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Main Details
Name
FRIEND FAMILY HEALTH CENTER, INC.
Subdivision Name
The Burnham at Woodlawn Park
Type
HRSA-Funded Health Center
Site ID
BPS-H80-017950
340B ID
CH05911F
Grant Number
H80CS00120
Additional Details
Current Program Status
Terminated
Registration Date
10/12/2016
Participating Start Date
1/1/2017
Participating Approval Date
10/24/2016
Last Recertification Date
2/21/2022
Termination Date
Termination Reason
4/1/2023
Failure to recertify
Contacts
Authorizing Official
Friend Family Health Center Inc
Verneda Bachus, CEO
(312) 682-6110 Ext: 111001
Primary Contact
Friend Family Health Center
Sabrina G. Moore, CFO
(773) 702-2193
Addresses
Street Address
6134 S. Cottage Grove Ave
Chicago, IL 60637
Billing Address
Friend Family Health Center, Inc.
800 E 55th Street
Chicago, IL 60615
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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June 2025
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