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CHC28967-01 Hope Christian Health Center Corp (Active)
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Main Details
Name
Hope Christian Health Center Corp
Subdivision Name
Hope Christian Health Center MLK
Type
HRSA-Funded Health Center
Site ID
BPS-H80-021526
340B ID
CHC28967-01
Grant Number
H80CS28967
Additional Details
Current Program Status
Active
Registration Date
7/30/2018
Participating Start Date
10/1/2018
Participating Approval Date
8/3/2018
Last Recertification Date
2/12/2025
Contacts
Authorizing Official
Hope Christian Health Center
Myles Adamson, Chief Operating Officer
(702) 644-4673
Primary Contact
Hope Christian Health Center
Miles Larioza, Vaccine Coordinator
(702) 644-4673
Addresses
Street Address
4040 N MLK Blvd Suite A
North Las Vegas, NV 89032
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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