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CHC26634-03 Philadelphia Fight (Terminated)
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Main Details
Name
Philadelphia Fight
Subdivision Name
FIGHT Pediatric and Adolescent Medicine YHEP Clinic
Type
HRSA-Funded Health Center
Site ID
BPS-H80-021967
340B ID
CHC26634-03
Grant Number
H80CS26634
Additional Details
Current Program Status
Terminated
Registration Date
4/11/2018
Participating Start Date
7/1/2018
Participating Approval Date
4/19/2018
Last Recertification Date
2/17/2021
Termination Date
Termination Reason
10/1/2021
Other
Contacts
Authorizing Official
Philadelphia FIGHT
JANE SHULL, EXECUTIVE DIRECTOR
(215) 985-4448 Ext: 102
Primary Contact
Philadelphia FIGHT
Dan Clemons, Chief Financial Officer
(215) 985-4448 Ext: 106
Addresses
Street Address
1207 Chestnut St. 5th Floor
Philadelphia, PA 19107
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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