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FQHCLA407E Metropolitan Charities, Inc. (Active)
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Main Details
Name
Metropolitan Charities, Inc.
Subdivision Name
METRO Mobile Unit
Type
Health Center Program Look-Alike
Site ID
BPS-LAL-032879
340B ID
FQHCLA407E
Grant Number
LALCS35348
Additional Details
Current Program Status
Active
Registration Date
8/25/2021
Participating Start Date
8/26/2021
Participating Approval Date
8/26/2021
Last Recertification Date
2/21/2025
Contacts
Authorizing Official
Metropolitan Charities, Inc.
Priya Rajkumar, Chief Executive Officer
(727) 321-3854 Ext: 1230
Primary Contact
Metropolitan Charities, Inc.
Samantha Legg, Vice President of Clinical Services and Compliance
(727) 321-3854 Ext: 1265
Addresses
Street Address
11201 Corporate Circle North
Suite 140
Saint Petersburg, FL 33716
Billing Address
Metro Inclusive Health
701 94th Avenue North
Suite 250
St Petersburg, FL 33702
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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