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CH02127A COMMUNITY HEALTH CARE, INC. (Terminated)
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Main Details
Name
COMMUNITY HEALTH CARE, INC.
Subdivision Name
VINELAND HEALTH CENTER
Type
HRSA-Funded Health Center
Site ID
BPS-H80-004657
340B ID
CH02127A
Grant Number
H80CS00164
Additional Details
Current Program Status
Terminated
Registration Date
4/1/2002
Participating Start Date
4/1/2002
Participating Approval Date
5/7/2004
Last Recertification Date
2/17/2017
Termination Date
Termination Reason
7/1/2017
Site closure
Contacts
Authorizing Official
Community Health Care Inc.
James C. Edwards, CEO
(856) 451-4700 Ext: 2070
Primary Contact
Community Health Care Inc.
Richard Elwell, VP Business
(856) 391-4810
Addresses
Street Address
319 LANDIS AVENUE
VINELAND, NJ 08360
Billing Address
COMMUNITY HEALTH CARE, INC.
53 SOUTH LAUREL STREET
2ND FLOOR
BRIDGETON, NJ 08302
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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2/2/11 UPDATED BILL ADD (WAS 215 DELSEA DR); 5/19/10 UPDATED BILLING ADD (WAS 53 SOUTH LAUREL STREET, BRIDGETON, NJ); 5/1/09 BILL TO ADDED - CORRECTED ENTITY NAME
02/02/2011
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