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CH05642W LAWNDALE CHRISTIAN HEALTH CENTER (Active)
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Main Details
Name
LAWNDALE CHRISTIAN HEALTH CENTER
Subdivision Name
LCHC at Salvation Army Freedom Center
Type
HRSA-Funded Health Center
Site ID
BPS-H80-029696
340B ID
CH05642W
Grant Number
H80CS00725
Additional Details
Current Program Status
Active
Registration Date
1/14/2020
Participating Start Date
4/1/2020
Participating Approval Date
1/30/2020
Last Recertification Date
2/10/2025
Contacts
Authorizing Official
Lawndale Christian Health Center
Christopher Robert Dons, Chief Financial Officer
(872) 588-3032
Primary Contact
Lawndale Christian Health Center
Alexandra Cueto, Internal Auditor
(872) 588-3027
Addresses
Street Address
825 N Christiana Ave Rm 042
Chicago, IL 60651-4110
Billing Address
Lawndale Christian Health Center
3860 West Ogden Ave
Chicago, IL 60623
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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