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CHC12848B Wesley Community Center Inc (Active)
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Main Details
Name
Wesley Community Center Inc
Subdivision Name
Coffelt
Type
HRSA-Funded Health Center
Site ID
BPS-H80-031891
340B ID
CHC12848B
Grant Number
H80CS12848
Additional Details
Current Program Status
Active
Registration Date
5/31/2023
Participating Start Date
7/1/2023
Participating Approval Date
6/1/2023
Last Recertification Date
2/25/2025
Contacts
Authorizing Official
Wesley Community & Health Center
Blaine Bandi, CEO
(602) 368-9616
Primary Contact
Wesley Community Centers Inc.
Jason Rentscheler, Chief Compliance and Information Officer
(602) 368-9603
Addresses
Street Address
1510 S 19th Dr Ste 100
Phoenix, AZ 85009-6540
Billing Address
Wesley Community Centers Inc.
1300 South 10th Street
Phoenix, AZ 85034
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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June 2025
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