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CH071857A EASTERN IOWA HEALTH CENTER (Terminated)
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Main Details
Name
EASTERN IOWA HEALTH CENTER
Subdivision Name
Eastern Iowa Womens Health Center
Type
HRSA-Funded Health Center
Site ID
BPS-H80-018892
340B ID
CH071857A
Grant Number
H80CS08226
Additional Details
Current Program Status
Terminated
Registration Date
10/28/2016
Participating Start Date
1/1/2017
Participating Approval Date
11/14/2016
Last Recertification Date
2/6/2023
Termination Date
Termination Reason
10/1/2023
Site closure
Contacts
Authorizing Official
Eastern Iowa Health Center
James Lock, President & CEO
(319) 730-7300
Primary Contact
Eastern Iowa Health Center
Keri E Edmonds, Clinical Informatics and Quality Programs Manager
(319) 730-7388
Addresses
Street Address
4251 River Center Ct NE
Cedar Rapids, IA 52402
Billing Address
Eastern Iowa Health Center
1030 5th Avenue SE, Suite 2400
Cedar Rapids, IA 52403-2478
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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