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CHC08238-08 Change, Incorporated (Active)
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Main Details
Name
Change, Incorporated
Subdivision Name
FMC - SBHC Weir Complex
Type
HRSA-Funded Health Center
Site ID
BPS-H80-027259
340B ID
CHC08238-08
Grant Number
H80CS08238
Additional Details
Current Program Status
Active
Registration Date
7/9/2019
Participating Start Date
10/1/2019
Participating Approval Date
7/10/2019
Last Recertification Date
2/11/2025
Contacts
Authorizing Official
CHANGE, Inc.
Lisa Mowry, CEO
(304) 797-7733 Ext: 1311
Primary Contact
CHANGE, Inc.
James Boniey, Director of Program Operations
(304) 797-7733 Ext: 1309
Addresses
Street Address
100 Red Rider Rd
Weirton, WV 26062-4270
Billing Address
CHANGE, Incorporated
3158 West Street
Weirton, WV 26062
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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