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CH03075A EAST LIBERTY FAMILY HEALTH CARE CENTER (Terminated)
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Main Details
Name
EAST LIBERTY FAMILY HEALTH CARE CENTER
Subdivision Name
LINCOLN-LEMINGTON FAM HLTH CARE
Type
HRSA-Funded Health Center
Site ID
BPS-H80-000860
340B ID
CH03075A
Grant Number
H80CS00664
Additional Details
Current Program Status
Terminated
Registration Date
1/1/2003
Participating Start Date
1/1/2003
Participating Approval Date
1/1/2003
Last Recertification Date
2/13/2023
Termination Date
Termination Reason
7/1/2023
Other
Contacts
Authorizing Official
The East Liberty Family Health Care Center
Gregory C Anderson, Interim CEO
(412) 661-2802
Primary Contact
East Liberty Family Health Care Center
Lauren Mongelluzzo, Director of Health Informatics
(412) 345-7857
Addresses
Street Address
7171 Churchland St
Pittsburgh, PA 15206-1217
Billing Address
East Liberty Family Health Care Center-LL
7157 Mary Peck Bond Place
Attention Finance Dept
Pittsburgh, PA 15206
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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