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CH050840 FAMILY HEALTH CENTER OF MARSHFIELD INC (Terminated)
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Main Details
Name
FAMILY HEALTH CENTER OF MARSHFIELD INC
Subdivision Name
FAMILY HEALTH CENTER/MARSHFIELD CLINIC-MARSHFIELD CENTER
Type
HRSA-Funded Health Center
Site ID
BPS-H80-004124
340B ID
CH050840
Grant Number
H80CS00792
Additional Details
Current Program Status
Terminated
Registration Date
4/1/1999
Participating Start Date
4/1/1999
Participating Approval Date
9/2/2003
Last Recertification Date
2/22/2018
Termination Date
Termination Reason
10/1/2018
Hospital Outpatient facility no longer eligible
Contacts
Authorizing Official
Family Health Center of Marshfield, Inc.
Greg Nycz, Chief Executive Officer
(715) 387-9137
Primary Contact
Family Health Center of Marshfield, Inc.
Xin W. Ruppel, Pharmacy Manager
(715) 221-8754
Addresses
Street Address
1000 N Oak Ave
Marshfield, WI 54449-5703
Billing Address
MARSHFIELD DENTAL CENTER
1307 NORTH SAINT JOSEPH AVENUE
MARSHFIELD, WI 54449
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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4/14/06 - NAME CORRECTION (WAS FAMILY HEALTH CENTER PHARMACY-MARSHFIELD), CORRECTED SHIP TO/BILL TO ARRANGEMENT, 9/2/03 - ADD MED# 8/6/10 UPDATED BILL TO (WAS FAMILY HEALTH CENTER OF MARSHFIELD, INC. PHARMACY (INHOUSE), 200 EAST UPHAM STREET) 8/6/10 UPDATED SHIP TO (WAS FAMILY HEALTH CENTER OF MARSHFIELD, INC. PHARMACY (INHOUSE), 200 EAST UPHAM STREET)
08/06/2010
4/14/06 - NAME CORRECTION (WAS FAMILY HEALTH CENTER PHARMACY-MARSHFIELD), CORRECTED SHIP TO/BILL TO ARRANGEMENT, 9/2/03 - ADD MED# 8/6/10 UPDATED BILL TO (WAS FAMILY HEALTH CENTER OF MARSHFIELD, INC. PHARMACY (INHOUSE), 200 EAST UPHAM STREET) 8/6/10 UPDATED SHIP TO (WAS FAMILY HEALTH CENTER OF MARSHFIELD, INC. PHARMACY (INHOUSE), 200 EAST UPHAM STREET)
08/06/2010
May 2025
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