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CH071857B EASTERN IOWA HEALTH CENTER (Active)
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Main Details
Name
EASTERN IOWA HEALTH CENTER
Subdivision Name
Eastern Iowa Health Center - Dental
Type
HRSA-Funded Health Center
Site ID
BPS-H80-033778
340B ID
CH071857B
Grant Number
H80CS08226
Additional Details
Current Program Status
Active
Registration Date
4/3/2017
Participating Start Date
7/1/2017
Participating Approval Date
4/24/2017
Last Recertification Date
2/10/2025
Contacts
Authorizing Official
Eastern Iowa Health Center
James Lock, President & CEO
(319) 730-7300
Primary Contact
Eastern Iowa Health Center
Michele Renee Davis, Director of Quality & Risk Managment
(319) 730-7300 Ext: 7388
Addresses
Street Address
1210 Fourth Avenue SE
Cedar Rapids, IA 52403
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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