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CH04175R SUNCOAST COMMUNITY HEALTH CENTERS, INC. (Active)
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Main Details
Name
SUNCOAST COMMUNITY HEALTH CENTERS, INC.
Subdivision Name
Thonotosassa Community Health Center
Type
HRSA-Funded Health Center
Site ID
BPS-H80-019553
340B ID
CH04175R
Grant Number
H80CS00541
Additional Details
Current Program Status
Active
Registration Date
8/8/2017
Participating Start Date
10/1/2017
Participating Approval Date
8/9/2017
Last Recertification Date
2/14/2025
Contacts
Authorizing Official
Suncoast Community Health Centers, Inc.
Bradley Herremans, CEO
(813) 653-6268
Primary Contact
Suncoast Community Health Centers, Inc.
Miosotis Peguero, Analyst – Finance & Pharmacy Compliance
(813) 349-7998
Addresses
Street Address
9555 E. Fowler Ave.
Thonotosassa, FL 33592
Billing Address
Suncoast Community Health Centers, Inc.
P.O. Box 1349
Ruskin, FL 33575
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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