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CHC33650-05 Southern Indiana Community Health Care Inc (Terminated)
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Main Details
Name
Southern Indiana Community Health Care Inc
Subdivision Name
SICHC Bedford Temporary Site
Type
HRSA-Funded Health Center
Site ID
BPS-H80-036154
340B ID
CHC33650-05
Grant Number
H80CS33650
Additional Details
Current Program Status
Terminated
Registration Date
2/6/2023
Participating Start Date
4/1/2023
Participating Approval Date
2/7/2023
Last Recertification Date
2/10/2024
Termination Date
Termination Reason
4/1/2025
Failure to recertify
Contacts
Authorizing Official
Southern Indiana Community Health Care
Nancy Radcliff, CEO
(812) 723-3944
Primary Contact
Southern Indiana Community Health Care, Inc.
Debby Heinz, Project Coordinator
(812) 723-3944
Addresses
Street Address
2512 Q Street
Bedford, IN 47421
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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