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CH071857G Eastern Iowa Health Center (Terminated)
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Main Details
Name
Eastern Iowa Health Center
Subdivision Name
Temporary Site- Eastern Iowa Health Center- Wellington Plaza
Type
HRSA-Funded Health Center
Site ID
BPS-H80-031401
340B ID
CH071857G
Grant Number
H80CS08226
Additional Details
Current Program Status
Terminated
Registration Date
4/14/2021
Participating Start Date
7/1/2021
Participating Approval Date
4/15/2021
Last Recertification Date
Termination Date
Termination Reason
7/1/2021
Other
Contacts
Authorizing Official
Eastern Iowa Health Center
James Lock, President & CEO
(319) 730-7300
Primary Contact
Eastern Iowa Health Center
Erin Langdon, Chief Development Officer
(319) 730-7343
Addresses
Street Address
400 12th St SE
Cedar Rapids, IA 52403-4051
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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