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CHC12871-02 Greater Prince William Area Community Health Center, Inc. (Active)
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Main Details
Name
Greater Prince William Area Community Health Center, Inc.
Subdivision Name
GPW Health Center - Dumfries
Type
HRSA-Funded Health Center
Site ID
BPS-H80-014879
340B ID
CHC12871-02
Grant Number
H80CS12871
Additional Details
Current Program Status
Active
Registration Date
7/17/2023
Participating Start Date
10/1/2023
Participating Approval Date
7/19/2023
Last Recertification Date
2/19/2025
Contacts
Authorizing Official
Greater Prince William Community Health Center
Hunter Peterson, CBDO
(571) 402-7037
Primary Contact
Greater Prince William Community Health Center
Hunter Peterson, Chief Compliance Officer
(703) 680-7950 Ext: 3999
Addresses
Street Address
17739 Main St Ste 130
Dumfries, VA 22026-3256
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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June 2025
June 2025
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