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CH041294A NORTH BROWARD HOSPITAL DISTRICT (Active)
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Main Details
Name
NORTH BROWARD HOSPITAL DISTRICT
Subdivision Name
SPECIALTY CARE CENTER
Type
HRSA-Funded Health Center
Site ID
BPS-H80-004497
340B ID
CH041294A
Grant Number
H80CS00019
Additional Details
Current Program Status
Active
Registration Date
10/1/1998
Participating Start Date
10/1/1998
Participating Approval Date
4/8/2004
Last Recertification Date
2/28/2025
Contacts
Authorizing Official
North Broward Hospital District DBA Broward Health
Alisa Bert, Interim CFO/VP Financial Operations
(954) 847-7483
Primary Contact
North Broward Hospital District dba Broward Health
Dave A Lacknauth, Executive Director of Pharmacy Services
(954) 473-7078
Addresses
Street Address
1111 W Broward Blvd
Fort Lauderdale, FL 33312-1638
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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3/25/2008-UPDATED MEDICAID INFO.6/21/07 - UPDATED ZIP CODE (WAS 33311) AND ADDED CONTACT
03/25/2008
May 2025
May 2025
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