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CH03406BD PRIMARY HEALTH NETWORK (Terminated)
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Main Details
Name
PRIMARY HEALTH NETWORK
Subdivision Name
Warren Dental Center
Type
HRSA-Funded Health Center
Site ID
BPS-H80-019370
340B ID
CH03406BD
Grant Number
H80CS00663
Additional Details
Current Program Status
Terminated
Registration Date
7/14/2017
Participating Start Date
10/1/2017
Participating Approval Date
7/19/2017
Last Recertification Date
2/19/2020
Termination Date
Termination Reason
4/1/2021
Business decision by the Covered Entity
Contacts
Authorizing Official
Primary Health Network
Thomas Francis Burich, Acting CEO
(724) 342-3002
Primary Contact
Primary Health Network
Jennie Slabe, Chief Information Officer
(724) 342-3002 Ext: 1505
Addresses
Street Address
2 W Crescent Park
Warren, PA 16365-2111
Billing Address
Primary Health Network
P.O. Box 716
Sharon, PA 16146
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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May 2025
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