Covered Entity Details

CH05175K ACCESS COMMUNITY HEALTH NETWORK (Active)

Main Details

Name

ACCESS COMMUNITY HEALTH NETWORK

Subdivision Name

Access Ashland Family Health Center

Type

HRSA-Funded Health Center

Site ID

BPS-H80-010579

340B ID

CH05175K

Grant Number

H80CS00834

Additional Details

Current Program Status

Active

Registration Date

4/1/1999

Participating Start Date

4/1/1999

Participating Approval Date

3/24/2004

Last Recertification Date

2/13/2025

Contacts

Authorizing Official

Access Community Health Network
Mahomed Ouedraogo, Chief Executive Officer
(312) 526-2360

Primary Contact

Access Community Health Network
Kenneth Pacheco, Director, Pharmacy and Lab Services
(312) 526-2107

Addresses

Street Address

5159 S Ashland Ave
Chicago, IL 60609-4931

Billing Address

ACCESS COMMUNITY HEALTH NETWORK
600 W Fulton St
Suite 300
CHICAGO, IL 60661

Comment	Last Updated On
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4/17/12-Removed the Medicaid number; 11/09/11 - Changed Main address from 5256 SOUTH ASHLAND AVENUE. 7/13/10 ADDED BILL TO; ADDED E-MAIL ADDRESS	04/17/2012
11/09/11 - Changed Main address from 5256 SOUTH ASHLAND AVENUE. 7/13/10 ADDED BILL TO; ADDED E-MAIL ADDRESS	11/09/2011
7/13/10 ADDED BILL TO; ADDED E-MAIL ADDRESS	03/24/2004
7/13/10 ADDED BILL TO; ADDED E-MAIL ADDRESS	03/24/2004

340B Drug Pricing Program Database