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CH04550Q PREMIER COMMUNITY HEALTHCARE GROUP, INC. (Terminated)
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Main Details
Name
PREMIER COMMUNITY HEALTHCARE GROUP, INC.
Subdivision Name
Premier Community HealthCare Group, Inc. - Madison Ave
Type
HRSA-Funded Health Center
Site ID
BPS-H80-032446
340B ID
CH04550Q
Grant Number
H80CS00101
Additional Details
Current Program Status
Terminated
Registration Date
7/1/2021
Participating Start Date
10/1/2021
Participating Approval Date
7/13/2021
Last Recertification Date
2/1/2024
Termination Date
Termination Reason
10/1/2024
Other
Contacts
Authorizing Official
Premier Community HealthCare Group, Inc.
Joseph Resnick, CEO
(352) 518-2000 Ext: 9000
Primary Contact
Premier Community HealthCare Group, Inc.
Komal Patel, 340B Manager
(352) 518-2000 Ext: 9044
Addresses
Street Address
6906 Madison St
New Port Richey, FL 34652-1902
Billing Address
PREMIER COMMUNITY HEALTHCARE GROUP, INC.
PO BOX 232
DADE CITY, FL 33526
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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April 2025
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