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CH05175AB ACCESS COMMUNITY HEALTH NETWORK (Active)
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Main Details
Name
ACCESS COMMUNITY HEALTH NETWORK
Subdivision Name
ACCESS Family Health Society
Type
HRSA-Funded Health Center
Site ID
BPS-H80-002164
340B ID
CH05175AB
Grant Number
H80CS00834
Additional Details
Current Program Status
Active
Registration Date
7/1/2002
Participating Start Date
7/1/2002
Participating Approval Date
3/24/2004
Last Recertification Date
2/13/2025
Contacts
Authorizing Official
Access Community Health Network
Mahomed Ouedraogo, Chief Executive Officer
(312) 526-2360
Primary Contact
Access Community Health Network
Kenneth Pacheco, Director, Pharmacy and Lab Services
(312) 526-2107
Addresses
Street Address
152 W. LINCOLN HWY
CHICAGO HEIGHTS, IL 60411-2619
Billing Address
ACCESS COMMUNITY HEALTH NETWORK
600 W Fulton St
Suite 300
CHICAGO, IL 60661
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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4/17/12-Removed the Medicaid number; 7/13/10 ADDED BILL TO; ADDED E-MAIL ADDRESS
04/17/2012
7/13/10 ADDED BILL TO; ADDED E-MAIL ADDRESS
03/24/2004
7/13/10 ADDED BILL TO; ADDED E-MAIL ADDRESS
03/24/2004
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