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CH03362E Lancaster Health Center (Terminated)
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Main Details
Name
Lancaster Health Center
Subdivision Name
Lancaster Health Center - New Holland Avenue
Type
HRSA-Funded Health Center
Site ID
BPS-H80-020769
340B ID
CH03362E
Grant Number
H80CS00686
Additional Details
Current Program Status
Terminated
Registration Date
11/7/2017
Participating Start Date
1/1/2018
Participating Approval Date
11/7/2017
Last Recertification Date
2/4/2021
Termination Date
Termination Reason
7/1/2021
Other
Contacts
Authorizing Official
Lancaster Health Center
Alisa Jones, President and CEO
(717) 945-1551
Primary Contact
Lancaster Health Center
Jennifer Black, Chief Quality and Compliance Officer
(717) 945-1562
Addresses
Street Address
802 New Holland Avenue
Lancaster, PA 17602-2288
Billing Address
Lancaster Health Center
304 North Water Street
Lancaster, PA 17603
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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