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CH051833P HEARTLAND COMMUNITY HEALTH CLINIC INC (Approved)
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Main Details
Name
HEARTLAND COMMUNITY HEALTH CLINIC INC
Subdivision Name
Heartland Community Health Clinic DBA: Heartland Health Services - Sheridan
Type
HRSA-Funded Health Center
Site ID
BPS-H80-027598
340B ID
CH051833P
Grant Number
H80CS02457
Additional Details
Current Program Status
Approved
Registration Date
4/7/2025
Participating Start Date
7/1/2025
Participating Approval Date
4/15/2025
Last Recertification Date
Contacts
Authorizing Official
Heartland Health Services
Dewitt Harrell, CEO
(309) 680-7657
Primary Contact
Heartland Health Services
Tony Bartlett, CFO
(309) 680-7612
Addresses
Street Address
2116 N Sheridan Rd Rm 104
Peoria, IL 61604-3457
Billing Address
Heartland Community Health Clinic DBA: Heartland Health Services
2214 N. University St
Peoria, IL 61604
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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Start Date - 1/1/2020 Termination Date - 4/1/2023 Reinstatement Date - 7/1/2025
04/08/2025
May 2025
May 2025
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