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CH071857C EASTERN IOWA HEALTH CENTER (Terminated)
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Main Details
Name
EASTERN IOWA HEALTH CENTER
Subdivision Name
Eastern Iowa Walk-In Clinic
Type
HRSA-Funded Health Center
Site ID
BPS-H80-019490
340B ID
CH071857C
Grant Number
H80CS08226
Additional Details
Current Program Status
Terminated
Registration Date
7/5/2017
Participating Start Date
10/1/2017
Participating Approval Date
7/13/2017
Last Recertification Date
2/7/2018
Termination Date
Termination Reason
1/1/2019
Site closure
Contacts
Authorizing Official
Eastern Iowa Health Center
James Lock, President & CEO
(319) 730-7300
Primary Contact
Eastern Iowa Health Center
Erin Langdon, Chief Development Officer
(319) 730-7343
Addresses
Street Address
947 14th Avenue SE
Cedar Rapids, IA 52403
Billing Address
Eastern Iowa Health Center
1030 5th Avenue SE, Suite 2400
Cedar Rapids, IA 52403
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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