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CHC28344-05 Banyan Community Health Center, Inc. (Active)
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Main Details
Name
Banyan Community Health Center, Inc.
Subdivision Name
Banyan Community Health Center-Cutler Bay
Type
HRSA-Funded Health Center
Site ID
BPS-H80-024749
340B ID
CHC28344-05
Grant Number
H80CS28344
Additional Details
Current Program Status
Active
Registration Date
2/20/2019
Participating Start Date
4/1/2019
Participating Approval Date
2/21/2019
Last Recertification Date
3/6/2025
Contacts
Authorizing Official
Banyan Health Systems
Gabriela Gutierrez, VP of Integrated Outpatient Services
(786) 239-1846
Primary Contact
Banyan Health SystemS
Anabel Enriquez, Pharmacy Director
(305) 442-1732
Addresses
Street Address
10720 Caribbean Blvd
420
Cutler Bay, FL 33189-1218
Billing Address
Banyan Community Health Center, Inc.
2300 NW 89th Pl
Doral, FL 33172
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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