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CH01998D GOODWIN COMMUNITY HEALTH (Terminated)
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Main Details
Name
GOODWIN COMMUNITY HEALTH
Subdivision Name
Goodwin Community Health
Type
HRSA-Funded Health Center
Site ID
BPS-H80-021620
340B ID
CH01998D
Grant Number
H80CS04210
Additional Details
Current Program Status
Terminated
Registration Date
1/15/2018
Participating Start Date
4/1/2018
Participating Approval Date
1/17/2018
Last Recertification Date
1/30/2023
Termination Date
Termination Reason
4/1/2023
Site closure
Contacts
Authorizing Official
Goodwin Community Health
JANET LAATSCH, EXECUTIVE DIRECTOR
(603) 516-2550
Primary Contact
Goodwin Community Health
Sharlene Poitras, IT Director
(603) 516-2569
Addresses
Street Address
100 Campus Dr.
Portsmouth, NH 03801
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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June 2025
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