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FQHCLA394H Wright Center Medical Group, P.C., The (Terminated)
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Main Details
Name
Wright Center Medical Group, P.C., The
Subdivision Name
The Wright Center for Community Health at Children's Service Center Practice
Type
Health Center Program Look-Alike
Site ID
BPS-LAL-027815
340B ID
FQHCLA394H
Grant Number
LALCS33109
Additional Details
Current Program Status
Terminated
Registration Date
7/1/2019
Participating Start Date
10/1/2019
Participating Approval Date
9/3/2019
Last Recertification Date
2/10/2022
Termination Date
Termination Reason
4/1/2023
Site closure
Contacts
Authorizing Official
The Wright Center Medical Group
Jignesh Sheth, Senior VP for Clinical Operations
(570) 687-4232
Primary Contact
The Wright Center Medical Group
Lisa Barrett, 340B Program Coordinator & Analyst
(570) 591-5117
Addresses
Street Address
335 S Franklin St
Wilkes Barre, PA 18702-3808
Billing Address
The Wright Center
501 S. Washington Ave
1000
Scranton, PA 18505
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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