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CH034140 SPECTRUM HEALTH SERVICES, INC. (Active)
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Main Details
Name
SPECTRUM HEALTH SERVICES, INC.
Subdivision Name
Spectrum Community Health Center
Type
HRSA-Funded Health Center
Site ID
BPS-H80-012685
340B ID
CH034140
Grant Number
H80CS00389
Additional Details
Current Program Status
Active
Registration Date
1/1/2000
Participating Start Date
1/1/2000
Participating Approval Date
11/20/2008
Last Recertification Date
2/13/2025
Contacts
Authorizing Official
Spectrum Health Services, Inc
Shawna L Russell-Young, Chief Compliance Officer
(215) 668-0847
Primary Contact
Spectrum Health Services, Inc.
Suzanne Brown, Director of Pharmacy Services
(267) 769-2512
Addresses
Street Address
5201 Haverford Avenue
Philadelphia, PA 19139
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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11/20/08 UPDATED ADDR (5619 23 VINE STREET)
01/14/2010
April 2025
April 2025
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