340B Drug Pricing Program Database
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CH041700 COLLIER HEALTH SERVICES, INC. (Active)
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Main Details
Name
COLLIER HEALTH SERVICES, INC.
Subdivision Name
COLLIER HEALTH SERVICES, INC.
Type
HRSA-Funded Health Center
Site ID
Admin
340B ID
CH041700
Grant Number
H80CS00735
Additional Details
Current Program Status
Active
Registration Date
12/1/1992
Participating Start Date
12/1/1992
Participating Approval Date
10/12/2010
Last Recertification Date
2/18/2025
Contacts
Authorizing Official
Collier Health Services, Inc., d/b/a Healthcare Network
John Fletcher, Chief Operating Officer & General Counsel
(239) 658-3060
Primary Contact
Collier Health Services, Inc.
Martine Woolley, Vice President of Pharmacy
(239) 658-3030
Addresses
Street Address
1454 Madison Ave W
Immokalee, FL 34142-2200
Billing Address
Collier Health Services, Inc., d/b/a Healthcare Network
1454 Madison Ave W
Immokalee, FL 34142
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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10/12/10 UPDATED ZIP (WAS 33934)
10/12/2010
April 2025
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