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CHC26634-06 Philadelphia Fight (Terminated)
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Main Details
Name
Philadelphia Fight
Subdivision Name
Clinica Bienestar
Type
HRSA-Funded Health Center
Site ID
BPS-H80-022293
340B ID
CHC26634-06
Grant Number
H80CS26634
Additional Details
Current Program Status
Terminated
Registration Date
10/4/2018
Participating Start Date
1/1/2019
Participating Approval Date
10/5/2018
Last Recertification Date
2/19/2020
Termination Date
Termination Reason
10/1/2020
Site closure
Contacts
Authorizing Official
Philadelphia FIGHT
JANE SHULL, EXECUTIVE DIRECTOR
(215) 985-4448 Ext: 102
Primary Contact
Philadelphia FIGHT
Dan Clemons, Chief Financial Officer
(215) 985-4448 Ext: 106
Addresses
Street Address
2913 Kensington Ave. Philadelphia PA 1st floor and basement
Philadelphia, PA 19134-3016
Billing Address
Philadelphia FIGHT
1233 Locust St., 3rd Fl
Philadelphia, PA 19107
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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