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CHC29004-07 HOWARD BROWN HEALTH CENTER (Terminated)
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Main Details
Name
HOWARD BROWN HEALTH CENTER
Subdivision Name
Howard Brown Health Diversey
Type
HRSA-Funded Health Center
Site ID
BPS-H80-021035
340B ID
CHC29004-07
Grant Number
H80CS29004
Additional Details
Current Program Status
Terminated
Registration Date
10/2/2017
Participating Start Date
1/1/2018
Participating Approval Date
10/18/2017
Last Recertification Date
2/14/2024
Termination Date
Termination Reason
10/1/2024
Site closure
Contacts
Authorizing Official
Howard Brown Health
Anthony Scott Armstrong, Vice President of Strategy and Business Development
(407) 765-5579
Primary Contact
Howard Brown Health
Sima Shah, 340B Program Director
(773) 388-1600
Addresses
Street Address
2800 N Sheridan Rd, Ste 211
Chicago, IL 60657
Billing Address
Howard Brown Health Center
4025 N Sheridan Road
Chicago, IL 60613
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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