340B Drug Pricing Program Database

Name

BOSTON HEALTH CARE FOR THE HOMELESS PROGRAM, INC., THE

Subdivision Name

Revision House

Type

HRSA-Funded Health Center

Site ID

BPS-H80-005915

340B ID

CH01121AQ

Grant Number

H80CS00006

Current Program Status

Terminated

Registration Date

10/14/2016

Participating Start Date

1/1/2017

Participating Approval Date

10/31/2016

Last Recertification Date

2/4/2019

Termination Date
Termination Reason

4/1/2020
Business decision by the Covered Entity

Authorizing Official

Boston Health Care for the Homeless Program
Barry Bock, CEO
(857) 654-1015

Primary Contact

Boston Health Care for the Homeless Program
Dirk Williams, Compliance Officer
(857) 654-1049

Street Address

38 Fabyan Street
Dorchester, MA 02121

Billing Address

bhchp
780 Albany Street
Boston, MA 02118