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CHC26634-05 Philadelphia Fight (Active)
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Main Details
Name
Philadelphia Fight
Subdivision Name
Broad Street Ministry
Type
HRSA-Funded Health Center
Site ID
BPS-H80-021186
340B ID
CHC26634-05
Grant Number
H80CS26634
Additional Details
Current Program Status
Active
Registration Date
4/2/2018
Participating Start Date
7/1/2018
Participating Approval Date
4/19/2018
Last Recertification Date
2/19/2025
Contacts
Authorizing Official
Philadelphia FIGHT
Jose Benitez, CEO
(215) 985-4448
Primary Contact
Philadelphia FIGHT
Greg Landistratis, Director of Revenue Cycle
(215) 985-4448
Addresses
Street Address
315 S Broad St
Philadelphia, PA 19107-5213
Billing Address
Philadelphia FIGHT
1233 Locust St., 3rd Fl
Philadelphia, PA 19107
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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