340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
CH01058Y Providence Community Health Centers, Inc., The (Active)
Print
Main Details
Name
Providence Community Health Centers, Inc., The
Subdivision Name
Providence Community Health Centers at Roger Williams Middle School
Type
HRSA-Funded Health Center
Site ID
BPS-H80-031383
340B ID
CH01058Y
Grant Number
H80CS00057
Additional Details
Current Program Status
Active
Registration Date
4/1/2021
Participating Start Date
7/1/2021
Participating Approval Date
4/15/2021
Last Recertification Date
2/10/2025
Contacts
Authorizing Official
PCHC
MERRILL THOMAS, CEO
(401) 444-0400 Ext: 3130
Primary Contact
Providence Community Health Centers
Garrett Clark, CO
(401) 444-0400
Addresses
Street Address
278 Thurbers Ave
Providence, RI 02905-1716
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
History
1
Item
0
to
0
of
0
Page:
of 1
Go
Page size:
Change
Comment
Last Updated On
1
Item
0
to
0
of
0
Page:
of 1
Go
Page size:
Change
No records to display.
June 2025
June 2025
week
S
M
T
W
T
F
S
22
25
26
27
28
29
30
31
23
1
2
3
4
5
6
7
24
8
9
10
11
12
13
14
25
15
16
17
18
19
20
21
26
22
23
24
25
26
27
28
27
29
30
1
2
3
4
5
NoFilter
Contains
DoesNotContain
StartsWith
EndsWith
EqualTo
NotEqualTo
GreaterThan
LessThan
GreaterThanOrEqualTo
LessThanOrEqualTo
Between
NotBetween
IsEmpty
NotIsEmpty
IsNull
NotIsNull
Custom
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session