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CH07731G COMMUNITY HEALTH CENTERS OF SOUTHEASTERN IOWA, INC (Active)
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Main Details
Name
COMMUNITY HEALTH CENTERS OF SOUTHEASTERN IOWA, INC
Subdivision Name
CHC/SEIA Keokuk Clinic
Type
HRSA-Funded Health Center
Site ID
BPS-H80-022131
340B ID
CH07731G
Grant Number
H80CS00272
Additional Details
Current Program Status
Active
Registration Date
7/10/2017
Participating Start Date
10/1/2017
Participating Approval Date
7/13/2017
Last Recertification Date
2/17/2025
Contacts
Authorizing Official
Community Health Centers of Southeastern Iowa, INC
William A Grimm, Chief Executive Officer
(419) 966-5108
Primary Contact
Community Health Centers of Southeastern Iowa
Ann Speers, Admin Support Services Manager
(319) 576-3779
Addresses
Street Address
1618 Main Street
Keokuk, IA 52632-3452
Billing Address
COMMUNITY HEALTH CENTERS OF SOUTHEASTERN IOWA, INC
1706 West Agency Road
West Burlington, IA 52655-1667
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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