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CHC24152-05 LAKESHORE COMMUNITY HEALTH CARE, INC. (Active)
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Main Details
Name
LAKESHORE COMMUNITY HEALTH CARE, INC.
Subdivision Name
LCHC West Bend
Type
HRSA-Funded Health Center
Site ID
BPS-H80-035175
340B ID
CHC24152-05
Grant Number
H80CS24152
Additional Details
Current Program Status
Active
Registration Date
10/3/2023
Participating Start Date
1/1/2024
Participating Approval Date
10/18/2023
Last Recertification Date
2/10/2025
Contacts
Authorizing Official
Lakeshore Community Health Care
Kristin Blanchard Stearns, CEO
(920) 783-6633 Ext: 204
Primary Contact
Lakeshore Community Health Care
Christa Wilson, Director of Pharmacy
(920) 783-6633 Ext: 255
Addresses
Street Address
908 W Washington St
West Bend, WI 53095-2430
Billing Address
Lakeshore Community Health Care, Inc.
PO BOX 959
Sheboygan, WI 53082-0959, WI 53082-0959
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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