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CH04550P PREMIER COMMUNITY HEALTHCARE GROUP, INC. (Terminated)
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Main Details
Name
PREMIER COMMUNITY HEALTHCARE GROUP, INC.
Subdivision Name
Premier Community HealthCare Group, Inc. - Dental Clinic #4
Type
HRSA-Funded Health Center
Site ID
BPS-H80-031321
340B ID
CH04550P
Grant Number
H80CS00101
Additional Details
Current Program Status
Terminated
Registration Date
10/13/2020
Participating Start Date
1/1/2021
Participating Approval Date
10/15/2020
Last Recertification Date
2/14/2023
Termination Date
Termination Reason
4/1/2023
Business decision by the Covered Entity
Contacts
Authorizing Official
Premier Community HealthCare Group, Inc.
Joseph Resnick, CEO
(352) 518-2000 Ext: 9000
Primary Contact
Premier Community HealthCare Group, Inc.
Komal Patel, 340B Manager
(352) 518-2000 Ext: 9044
Addresses
Street Address
10841 LITTLE RD
NEW PORTY RICHEY, FL 34654-2513
Billing Address
PREMIER COMMUNITY HEALTHCARE GROUP, INC.
PO BOX 232
Dade City, FL 33525
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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April 2025
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