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CH05332AF SIHF Healthcare (Terminated)
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Main Details
Name
SIHF Healthcare
Subdivision Name
Comprehensive Health Center
Type
HRSA-Funded Health Center
Site ID
BPS-H80-021261
340B ID
CH05332AF
Grant Number
H80CS00195
Additional Details
Current Program Status
Terminated
Registration Date
11/30/2017
Participating Start Date
1/1/2018
Participating Approval Date
12/1/2017
Last Recertification Date
2/22/2022
Termination Date
Termination Reason
4/1/2023
Site closure
Contacts
Authorizing Official
SIHF Healthcare
Larry McCulley, President
(618) 332-0694 Ext: 155
Primary Contact
SIHF Healthcare
Patrice M Howard, Senior Vice President
(618) 332-0694
Addresses
Street Address
505 S 8TH ST
East Saint Louis, IL 62201-2919
Billing Address
SIHF Healthcare
2041 Goose Lake Rd
Sauget, IL 62206
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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