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CH01121BU Boston Health Care For The Homeless Program, Inc., The (Terminated)
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Main Details
Name
Boston Health Care For The Homeless Program, Inc., The
Subdivision Name
Temporary Site - 1515 Commonwealth Ave
Type
HRSA-Funded Health Center
Site ID
BPS-H80-030640
340B ID
CH01121BU
Grant Number
H80CS00006
Additional Details
Current Program Status
Terminated
Registration Date
4/8/2021
Participating Start Date
7/1/2021
Participating Approval Date
4/14/2021
Last Recertification Date
Termination Date
Termination Reason
4/1/2022
Site closure
Contacts
Authorizing Official
Boston Health Care for the Homeless Program
Barry Bock, CEO
(857) 654-1015
Primary Contact
Boston Health Care for the Homeless Program
Dirk Williams, Compliance Officer
(857) 654-1049
Addresses
Street Address
1515 Commonwealth Ave FL 1st
BOSTON, MA 02135
Billing Address
boston health care for the homeless program
780 Albany Street
Boston, MA 02118
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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