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CH04431BH MCR Health, Inc. (Terminated)
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Main Details
Name
MCR Health, Inc.
Subdivision Name
MCR Health Hudson High School
Type
HRSA-Funded Health Center
Site ID
BPS-H80-028199
340B ID
CH04431BH
Grant Number
H80CS00097
Additional Details
Current Program Status
Terminated
Registration Date
8/26/2019
Participating Start Date
10/1/2019
Participating Approval Date
8/27/2019
Last Recertification Date
1/31/2023
Termination Date
Termination Reason
4/1/2024
Business decision by the Covered Entity
Contacts
Authorizing Official
MCR Health, Inc
Linda Anne Snyder, Chief Compliance Officer/VP Government Affairs,HR
(941) 304-7975
Primary Contact
MCR Health
Randy James Heiser, Senior Director of Pharmacy
(941) 224-3680
Addresses
Street Address
14730 Cobra Way
Hudson, FL 34669-1083
Billing Address
MCR Health, Inc.
700 8th Avenue West, Suite 101
Palmetto, FL 34669-1083
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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