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CH03320K Greater Philadelphia Health Action, Incorporated (Active)
Main Details
Name
Greater Philadelphia Health Action, Incorporated
Subdivision Name
GPHA - Delaware Avenue Health Center
Type
HRSA-Funded Health Center
Site ID
BPS-H80-024744
340B ID
CH03320K
Grant Number
H80CS00708
Contacts
Authorizing Official
Greater Philadelphia Health Action
Brian Clark, CEO
(215) 925-2400 Ext: 1060
Primary Contact
GPHA
Kern Haynes Sr., Chief Financial Officer
(215) 925-2400 Ext: 1001
Additional Details
Current Program Status
Active
Registration Date
1/14/2019
Participating Start Date
4/1/2019
Participating Approval Date
1/22/2019
Last Recertification Date
1/30/2024
Addresses
Street Address
1080 N Delaware Ave
Philadelphia, PA 19125-4330
Billing Address
Greater Philadelphia Health Action
1401 S 31st ST
Philadelphia, PA 19146
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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