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CH05332A SIHF Healthcare (Active)
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Main Details
Name
SIHF Healthcare
Subdivision Name
SIHF Healthcare - State Street
Type
HRSA-Funded Health Center
Site ID
BPS-H80-004603
340B ID
CH05332A
Grant Number
H80CS00195
Additional Details
Current Program Status
Active
Registration Date
7/1/2001
Participating Start Date
7/1/2001
Participating Approval Date
9/30/2004
Last Recertification Date
2/22/2025
Contacts
Authorizing Official
SIHF Healthcare
Larry McCulley, President
(618) 332-0694 Ext: 155
Primary Contact
SIHF Healthcare
Patrice M Howard, Senior Vice President
(618) 332-0694
Addresses
Street Address
2001 State St
East Saint Louis, IL 62205-1803
Billing Address
SIHF Healthcare
2041 Goose Lake Road
Sauget, IL 62206
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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4/24/12 Change contact name from EDGAR BRANCH. NEW CONTACT INFO
04/24/2012
NEW CONTACT INFO
08/11/2005
May 2025
May 2025
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