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CH077310 COMMUNITY HEALTH CENTERS OF SOUTHEASTERN IOWA, INC (Active)
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Main Details
Name
COMMUNITY HEALTH CENTERS OF SOUTHEASTERN IOWA, INC
Subdivision Name
CHC/SEIA WEST BURLINGTON CLINIC
Type
HRSA-Funded Health Center
Site ID
BPS-H80-001096
340B ID
CH077310
Grant Number
H80CS00272
Additional Details
Current Program Status
Active
Registration Date
1/1/2003
Participating Start Date
1/1/2003
Participating Approval Date
1/12/2004
Last Recertification Date
2/17/2025
Contacts
Authorizing Official
Community Health Centers of Southeastern Iowa, INC
William A Grimm, Chief Executive Officer
(419) 966-5108
Primary Contact
Community Health Centers of Southeastern Iowa
Ann Speers, Admin Support Services Manager
(319) 576-3779
Addresses
Street Address
1706 W Agency Rd
West Burlington, IA 52655-1667
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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4/9/2008- UPDATED ADDRESS & FAX #(801 NORTH THIRD STREET,)52601NEW ADDRESS
05/09/2008
May 2025
May 2025
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