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CH05103A TCA HEALTH, INC. NFP (Active)
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Main Details
Name
TCA HEALTH, INC. NFP
Subdivision Name
CARVER MILITARY ACADEMY/TCA HLTH,INC
Type
HRSA-Funded Health Center
Site ID
BPS-H80-002916
340B ID
CH05103A
Grant Number
H80CS00109
Additional Details
Current Program Status
Active
Registration Date
2/21/2020
Participating Start Date
4/1/2020
Participating Approval Date
2/24/2020
Last Recertification Date
2/12/2025
Contacts
Authorizing Official
TCA Health, Inc.
VERONICA CLARKE, CEO
(773) 995-6300 Ext: 213
Primary Contact
TCA Health, Inc. NFP
Manoj Mathew, Medical Director
(773) 995-6300 Ext: 251
Addresses
Street Address
13100 S Doty Ave
Chicago, IL 60827-1597
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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April 2025
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