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CH051900 Heartland Alliance Health (Active)
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Main Details
Name
Heartland Alliance Health
Subdivision Name
Heartland Alliance Health - Uptown
Type
HRSA-Funded Health Center
Site ID
BPS-H80-038030
340B ID
CH051900
Grant Number
H80CS00111
Additional Details
Current Program Status
Active
Registration Date
1/1/2001
Participating Start Date
1/1/2001
Participating Approval Date
12/19/2003
Last Recertification Date
1/29/2024
Contacts
Authorizing Official
Heartland Alliance Health
John Church, Interim Executive Director
(559) 349-5652
Primary Contact
Heartland Alliance Health
Mark Daniel Calvert, Director of Specialty Business
(773) 351-3351
Addresses
Street Address
4009 N Broadway St
Chicago, IL 60613-2110
Billing Address
Heartland Alliance Health, INC.
4730 N Winthrop Ave
CHICAGO, IL 60640-5034
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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Last Recertification Date: 3/24/2025
03/27/2025
NEW NAME - FORMERLY CHICAGO HEALTH OUTREACH
12/19/2003
April 2025
April 2025
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