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CH05332CS SIHF Healthcare (Terminated)
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Main Details
Name
SIHF Healthcare
Subdivision Name
Arthur Health Center
Type
HRSA-Funded Health Center
Site ID
BPS-H80-019008
340B ID
CH05332CS
Grant Number
H80CS00195
Additional Details
Current Program Status
Terminated
Registration Date
7/17/2017
Participating Start Date
10/1/2017
Participating Approval Date
7/21/2017
Last Recertification Date
1/29/2019
Termination Date
Termination Reason
7/1/2019
Site closure
Contacts
Authorizing Official
SIHF Healthcare
Larry McCulley, President
(618) 332-0694 Ext: 155
Primary Contact
SIHF Healthcare
Patrice M Howard, Senior Vice President
(618) 332-0694
Addresses
Street Address
525 N. Vine Street
Arthur, IL 61911
Billing Address
SIHF Healthcare
2041 Goose Lake Road
Sauget, IL 62206
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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