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CH01121BA 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 Nueva Vida
Type
HRSA-Funded Health Center
Site ID
BPS-H80-007423
340B ID
CH01121BA
Grant Number
H80CS00006
Additional Details
Current Program Status
Terminated
Registration Date
10/14/2016
Participating Start Date
1/1/2017
Participating Approval Date
11/10/2016
Last Recertification Date
2/11/2022
Termination Date
Termination Reason
4/1/2023
Site closure
Contacts
Authorizing Official
Boston Health Care for the Homeless
Stephanie Sullivan, Chief Executive Officer
(857) 654-1002
Primary Contact
Boston Health Care for the Homeless Program
Dirk Williams, Compliance Officer
(857) 654-1049
Addresses
Street Address
53 Glen Rd
Jamaica Plain, MA 02130-3340
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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