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CH05642T LAWNDALE CHRISTIAN HEALTH CENTER (Active)
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Main Details
Name
LAWNDALE CHRISTIAN HEALTH CENTER
Subdivision Name
LCHC at 3910
Type
HRSA-Funded Health Center
Site ID
BPS-H80-019175
340B ID
CH05642T
Grant Number
H80CS00725
Additional Details
Current Program Status
Active
Registration Date
2/19/2019
Participating Start Date
4/1/2019
Participating Approval Date
2/20/2019
Last Recertification Date
2/11/2025
Contacts
Authorizing Official
Lawndale Christian Health Center
Christopher Robert Dons, Chief Financial Officer
(872) 588-3032
Primary Contact
Lawndale Christian Health Center
Alexandra Cueto, Internal Auditor
(872) 588-3027
Addresses
Street Address
3910 W Ogden Ave
Chicago, IL 60623-2461
Billing Address
Lawndale Christian Health Center
3860 West Ogden Ave
Chicago, IL 60623-2460
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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