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CH059700 Central Counties Health Centers, Inc. (Active)
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Main Details
Name
Central Counties Health Centers, Inc.
Subdivision Name
Capitol Community Health Center
Type
HRSA-Funded Health Center
Site ID
BPS-H80-001119
340B ID
CH059700
Grant Number
H80CS00533
Additional Details
Current Program Status
Active
Registration Date
4/1/2000
Participating Start Date
4/1/2000
Participating Approval Date
4/25/2005
Last Recertification Date
2/10/2025
Contacts
Authorizing Official
Central COunties Health Centers
Brad Buzzard, COO
(217) 788-2325
Primary Contact
Central Coutnies Health Centers
Heather Burton, CEO
(217) 788-2300
Addresses
Street Address
2239 E Cook St
Springfield, IL 62703-1944
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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4/25/05 - CHANGED ENTITY NAME (WAS HEALTHY SPRINGFIELD 2000), ADDRESS (WAS 1101 E. MONROE)
04/25/2005
April 2025
April 2025
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