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CH05006V COMMUNITY HEALTH PARTNERSHIP OF ILLINOIS (Terminated)
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Main Details
Name
COMMUNITY HEALTH PARTNERSHIP OF ILLINOIS
Subdivision Name
PRINCEVILLE MEDICAL CENTER
Type
HRSA-Funded Health Center
Site ID
BPS-H80-003732
340B ID
CH05006V
Grant Number
H80CS00748
Additional Details
Current Program Status
Terminated
Registration Date
4/3/2020
Participating Start Date
4/6/2020
Participating Approval Date
4/6/2020
Last Recertification Date
Termination Date
Termination Reason
4/1/2021
Never implemented the 340B Program
Contacts
Authorizing Official
Community Health Partnership of Illinois
Eleace Erica Sawyers, Chief Executive Officer
(786) 299-1724
Primary Contact
Community Health Partnership of Illinois
Jina Ramirez, Vice President of Operations
(312) 795-0000 Ext: 225
Addresses
Street Address
223 E Main St
Princeville, IL 61559-9654
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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