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CH04907R Community Health Centers Of Pinellas, Inc. (Active)
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Main Details
Name
Community Health Centers Of Pinellas, Inc.
Subdivision Name
Evara Health - Mobile Health Center
Type
HRSA-Funded Health Center
Site ID
BPS-H80-027591
340B ID
CH04907R
Grant Number
H80CS00463
Additional Details
Current Program Status
Active
Registration Date
10/1/2019
Participating Start Date
1/1/2020
Participating Approval Date
12/2/2019
Last Recertification Date
2/10/2025
Contacts
Authorizing Official
Community Health Centers of Pinellas, Inc.
Elodie Leigh Dorso, CEO
(727) 824-8100
Primary Contact
Community Health Centers of Pinellas, Inc
Edward Kucher, CRO
(727) 824-8100
Addresses
Street Address
1344 22nd St S
St Petersburg, FL 33712-2744
Billing Address
CHCP - Evara Health
14100 - 58th Street North
Clearwater, FL 33760
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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