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CH04032B COMMUNITY HEALTH OF SOUTH FL, INC (Active)
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Main Details
Name
COMMUNITY HEALTH OF SOUTH FL, INC
Subdivision Name
MARTIN LUTHER KING, JR. CLINICA CAMPESINA
Type
HRSA-Funded Health Center
Site ID
BPS-H80-001258
340B ID
CH04032B
Grant Number
H80CS00821
Additional Details
Current Program Status
Active
Registration Date
7/1/1998
Participating Start Date
7/1/1998
Participating Approval Date
3/25/2005
Last Recertification Date
2/12/2025
Contacts
Authorizing Official
Community Health of South Florida, Inc.
Anthony Hall, President & CEO
(305) 252-4853
Primary Contact
Community Health of South Florida
Samuel K James, Pharmacy Director
(305) 254-7166 Ext: 4831
Addresses
Street Address
810 W. Mowry Drive
Homestead, FL 33030
Billing Address
Community Health of South FL, Inc
10300 SW 216th St
Miami, FL 33190
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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10/08/09 UPDATED ENTITY NAME (WAS COMMUNITY HEALTH OF SOUTH DADE, INC); 5/5/09 MED ID ADDED-DELETED MEDICAID #/CARVE OUT
05/18/2010
April 2025
April 2025
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