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CH03414C SPECTRUM HEALTH SERVICES (Active)
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Main Details
Name
SPECTRUM HEALTH SERVICES
Subdivision Name
Cottman Avenue Health Center
Type
HRSA-Funded Health Center
Site ID
BPS-H80-033716
340B ID
CH03414C
Grant Number
H80CS00389
Additional Details
Current Program Status
Active
Registration Date
2/21/2023
Participating Start Date
4/1/2023
Participating Approval Date
2/22/2023
Last Recertification Date
2/13/2025
Contacts
Authorizing Official
Spectrum Health Services, Inc
Shawna L Russell-Young, Chief Compliance Officer
(215) 668-0847
Primary Contact
Spectrum Health Services, Inc.
Suzanne Brown, Director of Pharmacy Services
(267) 769-2512
Addresses
Street Address
3525 Cottman Ave
Philadelphia, PA 19149-1607
Billing Address
Spectrum Health Services - Haverford
5201 Haverford Avenue
Philadelphia, PA 19139
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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