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CH03122P North Penn Comprehensive Health Services (Active)
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Main Details
Name
North Penn Comprehensive Health Services
Subdivision Name
Laurel Dental - Blossburg
Type
HRSA-Funded Health Center
Site ID
BPS-H80-031679
340B ID
CH03122P
Grant Number
H80CS00682
Additional Details
Current Program Status
Active
Registration Date
7/8/2021
Participating Start Date
10/1/2021
Participating Approval Date
7/13/2021
Last Recertification Date
3/5/2025
Contacts
Authorizing Official
North Penn Comprehensive Health Services
Ronald M Gilbert, CFO
(570) 828-3869
Primary Contact
North Penn Comprehensive Health Services
Brandi Fitzwater, Controller
(570) 662-1951
Addresses
Street Address
116 Seymour St
Blossburg, PA 16912-1418
Billing Address
North Penn Comprehensive Health Services
7 Water Street
Wellsboro, PA 16901
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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