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FQHCLA453 Florida Atlantic University (Active)
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Main Details
Name
Florida Atlantic University
Subdivision Name
FAU/NCHA Westgate Community Health Center
Type
Health Center Program Look-Alike
Site ID
BPS-LAL-032367
340B ID
FQHCLA453
Grant Number
LALCS41899
Additional Details
Current Program Status
Active
Registration Date
10/2/2023
Participating Start Date
1/1/2024
Participating Approval Date
10/3/2023
Last Recertification Date
2/18/2025
Contacts
Authorizing Official
Florida Atlantic University Christine E. Lynn College of Nursing
Cameron Duncan, Dean
(775) 843-8428
Primary Contact
Florida Atlantic University Northwest Community Health Alliance Community Health Center
Julia McCarthy, Office Manager
(561) 803-8880
Addresses
Street Address
1650 Osceola Dr
West Palm Beach, FL 33409-5038
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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