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CH059030 COMMUNITY HEALTH SYSTEMS, INC. (Active)
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Main Details
Name
COMMUNITY HEALTH SYSTEMS, INC.
Subdivision Name
Corporate Office
Type
HRSA-Funded Health Center
Site ID
BPS-H80-001353
340B ID
CH059030
Grant Number
H80CS00676
Additional Details
Current Program Status
Active
Registration Date
1/1/1999
Participating Start Date
1/1/1999
Participating Approval Date
3/18/2004
Last Recertification Date
2/14/2025
Contacts
Authorizing Official
Community Health Systems, Inc.
Caryn Davis, Director of Finance
(608) 299-3302
Primary Contact
Community Health Systems, Inc.
Angelique Ayers, Specialized Services Coordinator
(608) 299-3303
Addresses
Street Address
74 Eclipse Ctr
BELOIT, WI 53511-3550
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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6/30/16 New clinic was opened at 74 Eclipse Ctr, it was registered and received a 1/1/16 start date, later the admin offices moved there, instead of terminating the 0 site, APope discussed with Julie Sprecher and agreed to allow the 74 Eclipse Ctr to be on both the 0 record and the F record because of the contract pharmacies on the 0 site (the 690 Third st. location is still in the scope of project but will be removed in the near future via CIS); 3/25/16 removed termination after discussion with covered entity because 31 contract pharmacies are registered to this 340B ID; 11/29/11 - Changed main address from 74 BELOIT MALL BELOIT, WI. 2/8/07 - ENT NAME CHANGE (FORMERLY BELOIT AREA COMMUNITY HEALTH CENTER); CORRECTED 340B ID - WAS CHTBCRR06
06/30/2016
3/25/16 removed termination after discussion with covered entity because 31 contract pharmacies are registered to this 340B ID; 11/29/11 - Changed main address from 74 BELOIT MALL BELOIT, WI. 2/8/07 - ENT NAME CHANGE (FORMERLY BELOIT AREA COMMUNITY HEALTH CENTER); CORRECTED 340B ID - WAS CHTBCRR06
03/25/2016
11/29/11 - Changed main address from 74 BELOIT MALL BELOIT, WI. 2/8/07 - ENT NAME CHANGE (FORMERLY BELOIT AREA COMMUNITY HEALTH CENTER); CORRECTED 340B ID - WAS CHTBCRR06
11/29/2011
11/18/11 - Changed main address from 74 BELOIT MALL BELOIT, WI. 2/8/07 - ENT NAME CHANGE (FORMERLY BELOIT AREA COMMUNITY HEALTH CENTER); CORRECTED 340B ID - WAS CHTBCRR06
11/18/2011
2/8/07 - ENT NAME CHANGE (FORMERLY BELOIT AREA COMMUNITY HEALTH CENTER); CORRECTED 340B ID - WAS CHTBCRR06
02/08/2007
April 2025
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