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CH05084AJ Family Health Center Of Marshfield, Inc. (Active)
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Main Details
Name
Family Health Center Of Marshfield, Inc.
Subdivision Name
Family Health Center - Marshfield Alcohol and Drug Recovery Center
Type
HRSA-Funded Health Center
Site ID
BPS-H80-036147
340B ID
CH05084AJ
Grant Number
H80CS00792
Additional Details
Current Program Status
Active
Registration Date
8/6/2018
Participating Start Date
10/1/2018
Participating Approval Date
8/7/2018
Last Recertification Date
2/10/2025
Contacts
Authorizing Official
Family Health Center of Marshfield, Inc
Greg Nycz, Chief Executive Officer
(800) 942-5420
Primary Contact
Family Health Center of Marshfield, Inc
Xin Ruppel, Director of Pharmacy Services
(800) 942-5420
Addresses
Street Address
630 South Central Avenue
Suite 700
Marshfield, WI 54449
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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May 2025
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