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CH05332CQ SIHF Healthcare (Terminated)
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Main Details
Name
SIHF Healthcare
Subdivision Name
Swansea Health Center
Type
HRSA-Funded Health Center
Site ID
BPS-H80-019335
340B ID
CH05332CQ
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
2/22/2022
Termination Date
Termination Reason
4/1/2023
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
3214 North Illinois Street
Belleville, IL 62226-2330
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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