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CH01121BT Boston Health Care For The Homeless Program, Inc., The (Terminated)
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Main Details
Name
Boston Health Care For The Homeless Program, Inc., The
Subdivision Name
EVA Center
Type
HRSA-Funded Health Center
Site ID
BPS-H80-021693
340B ID
CH01121BT
Grant Number
H80CS00006
Additional Details
Current Program Status
Terminated
Registration Date
3/8/2018
Participating Start Date
4/1/2018
Participating Approval Date
3/8/2018
Last Recertification Date
2/11/2022
Termination Date
Termination Reason
4/1/2023
Site closure
Contacts
Authorizing Official
Boston Health Care for the Homeless
Stephanie Sullivan, Chief Executive Officer
(857) 654-1002
Primary Contact
Boston Health Care for the Homeless Program
Dirk Williams, Compliance Officer
(857) 654-1049
Addresses
Street Address
780 Albany Street
Boston, MA 02118-2524
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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