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CH07055AL Primary Health Care Inc (Active)
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Main Details
Name
Primary Health Care Inc
Subdivision Name
Primary Health Care - West Side Clinic
Type
HRSA-Funded Health Center
Site ID
BPS-H80-030757
340B ID
CH07055AL
Grant Number
H80CS00715
Additional Details
Current Program Status
Active
Registration Date
7/6/2017
Participating Start Date
10/1/2017
Participating Approval Date
7/13/2017
Last Recertification Date
2/11/2025
Contacts
Authorizing Official
Primary Health Care
Nathan Simpson, CEO
(515) 248-1868
Primary Contact
Primary Health Care
Heidi Price-Eastman, Pharmacy Director
(515) 248-1558
Addresses
Street Address
7555 Hickman Road
Urbandale, IA 50322
Billing Address
Primary Health Care, Inc.
1200 University Ave.
200
Des Moines, IA 50314-2355
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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April 2025
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