340B Drug Pricing Program Database

Name

Comprehensive Health Center

Subdivision Name

Type

Sexually Transmitted Diseases

340B ID

STD33020

Grant Number

NH25P5004342-04-01

Nature of Support
Please Describe the “in-kind” Support
Time period section 318 funding or in-kind support was received

In-Kind products or services (see note below; must have been purchased with section 318 funds)
Note: In-kind contributions may be in the form of real property, equipment, supplies and other expendable property, and goods and services directly benefiting and specifically identifiable to the project or program.

Current Program Status

Terminated

Registration Date

10/15/2018

Participating Start Date

1/1/2019

Participating Approval Date

11/21/2018

Last Recertification Date

5/1/2020

Notice of Funding Opportunity (NOFO) Number

Termination Date
Termination Reason

4/1/2021
Business decision by the Covered Entity

Authorizing Official

Comprehensive Health Center, LLC
Mary Ballantine, Executive Director
(305) 688-0811

Primary Contact

Comprehensive Health Center, LLC
Rudolph Moise DO, CEO
(305) 688-0811

Street Address

4101 S Hospital Drive
Suite 2
Plantation, FL 33317

Billing Address
Same as Street Address