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CHC28365-12 CIRCLE THE CITY (Active)
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Main Details
Name
CIRCLE THE CITY
Subdivision Name
Circle the City Family Health Center, Downtown Campus
Type
HRSA-Funded Health Center
Site ID
BPS-H80-021496
340B ID
CHC28365-12
Grant Number
H80CS28365
Additional Details
Current Program Status
Active
Registration Date
1/6/2023
Participating Start Date
4/1/2023
Participating Approval Date
1/9/2023
Last Recertification Date
2/14/2025
Contacts
Authorizing Official
Circle the City
Kim Despres, Chief Executive Officer
(602) 776-9000 Ext: 1003
Primary Contact
Circle the City
Sharon Dipasupil, Chief Clinical Officer
(623) 900-7684
Addresses
Street Address
220 S 12th Ave
Phoenix, AZ 85007-3101
Billing Address
Circle the City
300 west Clarendon ste 200
Phoenix, AZ 85013
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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