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CH071857F Eastern Iowa Health Center (Active)
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Main Details
Name
Eastern Iowa Health Center
Subdivision Name
Eastern Iowa Health Center - Pharmacy & Urgent Care
Type
HRSA-Funded Health Center
Site ID
BPS-H80-032007
340B ID
CH071857F
Grant Number
H80CS08226
Additional Details
Current Program Status
Active
Registration Date
4/14/2021
Participating Start Date
7/1/2021
Participating Approval Date
4/15/2021
Last Recertification Date
2/10/2025
Contacts
Authorizing Official
Eastern Iowa Health Center
James Lock, President & CEO
(319) 730-7300
Primary Contact
Eastern Iowa Health Center
Michele Renee Davis, Director of Quality & Risk Managment
(319) 730-7300 Ext: 7388
Addresses
Street Address
400 12th St SE
Cedar Rapids, IA 52403-4051
Billing Address
Eastern Iowa Health Center
1030 5th Street SE
2400
Cedar Rapids, IA 52403
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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