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CH051833K Heartland Community Health Clinic DBA Heartland Health Services (Terminated)
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Main Details
Name
Heartland Community Health Clinic DBA Heartland Health Services
Subdivision Name
Heartland Health Services East Court
Type
HRSA-Funded Health Center
Site ID
BPS-H80-019669
340B ID
CH051833K
Grant Number
H80CS02457
Additional Details
Current Program Status
Terminated
Registration Date
10/5/2017
Participating Start Date
1/1/2018
Participating Approval Date
10/18/2017
Last Recertification Date
2/5/2019
Termination Date
Termination Reason
10/1/2019
Site closure
Contacts
Authorizing Official
Heartland Communtiy Health Clinic DBA Heartland Health Services
Sharon Adams, Chief Executive Officer
(309) 680-7657
Primary Contact
Health Community Health Clinic DBA Heartland Health Services
Marjorie Parent, Vice President of Clinical Operations
(309) 680-7614
Addresses
Street Address
3422 Court St
Pekin, IL 61554-6235
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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