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CH05903G Community Health Systems Inc (Active)
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Main Details
Name
Community Health Systems Inc
Subdivision Name
Beloit Area Community Health Center Behavioral Health Clinic
Type
HRSA-Funded Health Center
Site ID
BPS-H80-034319
340B ID
CH05903G
Grant Number
H80CS00676
Additional Details
Current Program Status
Active
Registration Date
4/6/2023
Participating Start Date
7/1/2023
Participating Approval Date
4/6/2023
Last Recertification Date
2/14/2025
Contacts
Authorizing Official
Community Health Systems, Inc.
Caryn Davis, Director of Finance
(608) 299-3302
Primary Contact
Community Health Systems, Inc.
Angelique Ayers, Specialized Services Coordinator
(608) 299-3303
Addresses
Street Address
55 Eclipse Ctr
Beloit, WI 53511-3550
Billing Address
Community Health Systems
74 Eclipse Center
Beloit, WI 53511
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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