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CH04327BA EAU CLAIRE COOPERATIVE HEALTH CENTER (Terminated)
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Main Details
Name
EAU CLAIRE COOPERATIVE HEALTH CENTER
Subdivision Name
Cooperative Health @ CAMH
Type
HRSA-Funded Health Center
Site ID
BPS-H80-035860
340B ID
CH04327BA
Grant Number
H80CS00730
Additional Details
Current Program Status
Terminated
Registration Date
3/15/2023
Participating Start Date
4/1/2023
Participating Approval Date
3/16/2023
Last Recertification Date
2/5/2024
Termination Date
Termination Reason
1/1/2025
Business decision by the Covered Entity
Contacts
Authorizing Official
EAU CLAIRE COOPERATIVE HEALTH CENTER, INC
PEATRA CRUZ, CHIEF ORGANIZATIONAL DEVELOPMENT OFFICER
(803) 733-5969
Primary Contact
Eau Claire Cooperative Health Center, Inc
GRETCHEN BECKHAM, DIRECTOR OF PHARMACY
(803) 603-5737
Addresses
Street Address
2715 Colonial Dr
Columbia, SC 29203-6818
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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April 2025
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