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CH057250 PRIMARY CONNECTION HEALTHCARE, INC (Active)
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Main Details
Name
PRIMARY CONNECTION HEALTHCARE, INC
Subdivision Name
BRIDGE COMMUNITY HEALTH CLINIC
Type
HRSA-Funded Health Center
Site ID
BPS-H80-001502
340B ID
CH057250
Grant Number
H80CS00517
Additional Details
Current Program Status
Active
Registration Date
7/1/1999
Participating Start Date
7/1/1999
Participating Approval Date
7/1/1999
Last Recertification Date
2/11/2025
Contacts
Authorizing Official
Primary Connection Health Care
Jennifer Smith, Executive Director
(715) 261-2124
Primary Contact
Primary Connection Health Care
Kim Wieloch, Finance Director
(715) 261-2120
Addresses
Street Address
1810 N 2nd ST
Wausau, WI 54403-3492
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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8/15/2008- UPDATED AUTH. & CONTACT OFFICIAL INFORMATION.
08/15/2008
May 2025
May 2025
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