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CHC33641-00 SOUTHERN NEVADA HEALTH DISTRICT (Active)
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Main Details
Name
SOUTHERN NEVADA HEALTH DISTRICT
Subdivision Name
Southern Nevada Community Health Center
Type
HRSA-Funded Health Center
Site ID
BPS-H80-029621
340B ID
CHC33641-00
Grant Number
H80CS33641
Additional Details
Current Program Status
Active
Registration Date
11/12/2019
Participating Start Date
1/1/2020
Participating Approval Date
11/14/2019
Last Recertification Date
2/20/2025
Contacts
Authorizing Official
SOUTHERN NEVADA HEALTH DISTRICT
DONNIE WHITAKER, CFO/DIRECTOR OF FINANCE
(702) 759-1540
Primary Contact
Southern Nevada Health District
Todd Bleak, Director of Pharmacy
(702) 759-1136
Addresses
Street Address
280 S Decatur Blvd
Las Vegas, NV 89107-2936
Billing Address
Southern Nevada Health District
P.O. Box 3902
Las Vegas, NV 89127-3902
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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