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CHC30721-00 Silver State Health Services (Terminated)
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Main Details
Name
Silver State Health Services
Subdivision Name
Silver State Health Services
Type
HRSA-Funded Health Center
Site ID
BPS-H80-020815
340B ID
CHC30721-00
Grant Number
H80CS30721
Additional Details
Current Program Status
Terminated
Registration Date
7/11/2018
Participating Start Date
10/1/2018
Participating Approval Date
7/13/2018
Last Recertification Date
2/3/2023
Termination Date
Termination Reason
4/1/2024
Failure to recertify
Contacts
Authorizing Official
Silver State Health Services
Mark Miyaoka, CEO
(702) 287-6575
Primary Contact
Silver State Health
Gary Wayne James, Vice President Of Operations
(469) 560-6104
Addresses
Street Address
1909 S Jones Blvd
Las Vegas, NV 89146-1260
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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