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CH03406BC PRIMARY HEALTH NETWORK (Terminated)
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Main Details
Name
PRIMARY HEALTH NETWORK
Subdivision Name
Tidioute Health Center
Type
HRSA-Funded Health Center
Site ID
BPS-H80-019404
340B ID
CH03406BC
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
2/26/2018
Termination Date
Termination Reason
4/1/2019
Site closure
Contacts
Authorizing Official
Primary Health Network
Drew C. Pierce, CEO
(724) 342-3002 Ext: 1506
Primary Contact
Primary Health Network
Ankit Patel, 340B Program Coordinator
(724) 342-3002 Ext: 1550
Addresses
Street Address
115 Main Street
Tidioute, PA 16351-1062
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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