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CH08073AE METRO COMMUNITY PROVIDER NETWORK, INC. (Active)
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Main Details
Name
METRO COMMUNITY PROVIDER NETWORK, INC.
Subdivision Name
STRIDE CHC- Golden High School
Type
HRSA-Funded Health Center
Site ID
BPS-H80-027766
340B ID
CH08073AE
Grant Number
H80CS00217
Additional Details
Current Program Status
Active
Registration Date
10/8/2019
Participating Start Date
1/1/2020
Participating Approval Date
10/16/2019
Last Recertification Date
2/21/2025
Contacts
Authorizing Official
Metro Community Provider Network, Inc
Santos vera, President/CEO
(949) 572-0958
Primary Contact
METRO COMMUNITY PROVIDER NETWORK, INC.
Megan Johnson, 340B Analyst
(303) 761-1977 Ext: 3262
Addresses
Street Address
701 24th Street
Golden, CO 80401-2379
Billing Address
STRIDE CHC- Wheat Ridge
7495 W 29th Ave
Wheat Ridge, CO 80033-8002
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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