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FP605017 ACCESS COMMUNITY HEALTH NETWORK (Terminated)
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Main Details
Name
ACCESS COMMUNITY HEALTH NETWORK
Subdivision Name
ACCESS DES PLAINES VALLEY HEALTH CENTER
Type
Family Planning (Title X only)
340B ID
FP605017
Grant Number
FPHPA056139
Additional Details
Current Program Status
Terminated
Registration Date
1/1/1998
Participating Start Date
1/1/1998
Participating Approval Date
1/12/2010
Last Recertification Date
5/30/2019
Termination Date
Termination Reason
1/1/2020
Other
Contacts
Authorizing Official
Access Community Health Network
DONNA THOMPSON, CEO
(312) 526-2051
Primary Contact
Access Community Health Network
Kenneth Pacheco, Director, Pharmacy and Lab Services
(312) 526-2107
Addresses
Street Address
7450 W 63RD
SUMMIT, IL 60501
Billing Address
ACCESS COMMUNITY HEALTH NETWORK
600 W Fulton St
Suite 200
CHICAGO, IL 60661
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
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2/14/07 UPDATED MEDICAID # (WAS 362159193001); 10/27/05 UPDATED SUBDIV NAME;
03/10/2010
April 2025
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