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CH03075C East Liberty Family Health Care Center (Terminated)
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Main Details
Name
East Liberty Family Health Care Center
Subdivision Name
East Liberty Family Health Care Center- HD
Type
HRSA-Funded Health Center
Site ID
BPS-H80-021276
340B ID
CH03075C
Grant Number
H80CS00664
Additional Details
Current Program Status
Terminated
Registration Date
11/20/2017
Participating Start Date
1/1/2018
Participating Approval Date
11/21/2017
Last Recertification Date
2/7/2021
Termination Date
Termination Reason
4/1/2022
Site closure
Contacts
Authorizing Official
East Liberty Family Health Care Center
Rodney B. Jones Sr., CEO
(412) 362-6353
Primary Contact
East Liberty Family Health Care Center
Kim Fedor, COO
(412) 345-7855
Addresses
Street Address
373 Burrows St
Pittsburgh, PA 15213-2201
Billing Address
EAST LIBERTY FAMILY HEALTH CARE CENTER-LL
7171 Churchland Street
Attention Finance Dept
Pittsburgh, PA 15206
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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