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CH01121BK BOSTON HEALTH CARE FOR THE HOMELESS PROGRAM, INC., THE (Terminated)
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Main Details
Name
BOSTON HEALTH CARE FOR THE HOMELESS PROGRAM, INC., THE
Subdivision Name
Casa Esperanza Women's Program
Type
HRSA-Funded Health Center
Site ID
BPS-H80-005719
340B ID
CH01121BK
Grant Number
H80CS00006
Additional Details
Current Program Status
Terminated
Registration Date
10/13/2016
Participating Start Date
1/1/2017
Participating Approval Date
11/10/2016
Last Recertification Date
2/7/2017
Termination Date
Termination Reason
4/1/2018
Other
Contacts
Authorizing Official
Boston Health Care for the Homeless Program
Barry Bock, CEO
(857) 654-1015
Primary Contact
Boston Health Care for the Homeless Program
Barry Bock, CEO
(857) 654-1015
Addresses
Street Address
263 Eustis St
Roxbury, MA 02119-2826
Billing Address
bhchp
780 Albany Street
Boston, MA 02118
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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