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CH07803B East Central District Health Dept (Active)
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Main Details
Name
East Central District Health Dept
Subdivision Name
Good Neighbor Fremont Clinic Permanent Site
Type
HRSA-Funded Health Center
Site ID
BPS-H80-019429
340B ID
CH07803B
Grant Number
H80CS00862
Additional Details
Current Program Status
Active
Registration Date
1/3/2018
Participating Start Date
4/1/2018
Participating Approval Date
1/3/2018
Last Recertification Date
2/10/2025
Contacts
Authorizing Official
East Central District Health Department
Terri Ford-Wolfgram, CEO
(402) 562-7500 Ext: 210
Primary Contact
East Central District Health Department
Lloyd Haight, Chief Quality, Risk Mgt., Compliance
(402) 942-2849
Addresses
Street Address
2740 N Clarkson
Fremont, NE 68025-7716
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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