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CHC26638-00 ISLAND HEALTH, INC. (Active)
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Main Details
Name
ISLAND HEALTH, INC.
Subdivision Name
Island Health Care
Type
HRSA-Funded Health Center
Site ID
BPS-H80-032253
340B ID
CHC26638-00
Grant Number
H80CS26638
Additional Details
Current Program Status
Active
Registration Date
4/13/2021
Participating Start Date
7/1/2021
Participating Approval Date
4/14/2021
Last Recertification Date
2/11/2025
Contacts
Authorizing Official
Island Health Care
Cynthia Mitchell, Chief Executive Offier
(508) 627-5797 Ext: 110
Primary Contact
Island Health Care
Lucy Hackney, Chief Operating Officer
(508) 939-9358
Addresses
Street Address
245 Edgartown-Vineyard Haven Road
Edgartown, MA 02539
Billing Address
Island Health Care
PO Box 9000
Edgartown, MA 02539
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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April 2025
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