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FP158343 KEYSTONE RURAL HEALTH CONSORTIUM (Terminated)
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Main Details
Name
KEYSTONE RURAL HEALTH CONSORTIUM
Subdivision Name
CAMERON COUNTY HEALTH CARE
Type
Family Planning (Title X only)
340B ID
FP158343
Grant Number
Additional Details
Current Program Status
Terminated
Registration Date
1/1/1998
Participating Start Date
1/1/1998
Participating Approval Date
8/23/2004
Last Recertification Date
6/11/2015
Termination Date
Termination Reason
7/1/2015
Failure to recertify
Contacts
Authorizing Official
Kristie M. Bennardi, Administrator
(814) 486-1115
Primary Contact
Kristie M. Bennardi, Administrator
(814) 486-1115
Addresses
Street Address
90 E. SECOND STREET
EMPORIUM, PA 15834
Billing Address
Adagio Health
960 Penn AVe Suite 600
Pittsburgh, PA 15222
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
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