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CH01121BX Boston Health Care For The Homeless Program, Inc., The (Terminated)
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Main Details
Name
Boston Health Care For The Homeless Program, Inc., The
Subdivision Name
Boston Certified Community Behavioral Health Clinic
Type
HRSA-Funded Health Center
Site ID
BPS-H80-032938
340B ID
CH01121BX
Grant Number
H80CS00006
Additional Details
Current Program Status
Terminated
Registration Date
10/14/2022
Participating Start Date
1/1/2023
Participating Approval Date
10/17/2022
Last Recertification Date
2/13/2023
Termination Date
Termination Reason
4/1/2024
Site closure
Contacts
Authorizing Official
Boston Health Care for the Homeless Program
Dirk Williams, Compliance Officer
(857) 654-1049
Primary Contact
Boston Health Care for the Homeless Program
Barry Bock, CEO
(857) 654-1015
Addresses
Street Address
85 East Newton Street
Boston, MA 02118
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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June 2025
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