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CH07055A Primary Health Care, Inc. (Active)
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Main Details
Name
Primary Health Care, Inc.
Subdivision Name
Primary Health Care - Bery Engebretsen Clinic
Type
HRSA-Funded Health Center
Site ID
BPS-H80-002479
340B ID
CH07055A
Grant Number
H80CS00715
Additional Details
Current Program Status
Active
Registration Date
7/1/2002
Participating Start Date
7/1/2002
Participating Approval Date
4/18/2005
Last Recertification Date
2/11/2025
Contacts
Authorizing Official
Primary Health Care
Nathan Simpson, CEO
(515) 248-1868
Primary Contact
Primary Health Care
Heidi Price-Eastman, Pharmacy Director
(515) 248-1558
Addresses
Street Address
2353 SE 14th St
Des Moines, IA 50320-1109
Billing Address
Primary Health Care, Inc.
1200 University Ave.
200
Des Moines, IA 50314
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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3/23/10 NEW SHIP TO (WAS 600 EAST 14TH STREET) - NEW SHIP TO ADDRESS EFFEC 04/01/2004, 3/10/05 - NEW CONTACT
10/06/2010
April 2025
April 2025
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