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CH012010 MATTAPAN COMMUNITY HEALTH CENTER, INC. (Active)
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Main Details
Name
MATTAPAN COMMUNITY HEALTH CENTER, INC.
Subdivision Name
Mattapan Community Health Center
Type
HRSA-Funded Health Center
Site ID
BPS-H80-009258
340B ID
CH012010
Grant Number
H80CS00395
Additional Details
Current Program Status
Active
Registration Date
7/1/2002
Participating Start Date
7/1/2002
Participating Approval Date
7/1/2002
Last Recertification Date
2/10/2025
Contacts
Authorizing Official
Mattapan CHC
GUALE VALDEZ, CEO
(617) 898-9020
Primary Contact
Mattapan Community Health Center
Regina Izmaylova, Chief Financial Officer
(617) 898-9041
Addresses
Street Address
1575 Blue Hill Ave
Mattapan, MA 02126-2122
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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