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CH07117AC COMMUNITY HEALTH CARE, INC. (Terminated)
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Main Details
Name
COMMUNITY HEALTH CARE, INC.
Subdivision Name
Humility
Type
HRSA-Funded Health Center
Site ID
BPS-H80-037332
340B ID
CH07117AC
Grant Number
H80CS00670
Additional Details
Current Program Status
Terminated
Registration Date
11/7/2023
Participating Start Date
1/1/2024
Participating Approval Date
11/9/2023
Last Recertification Date
2/7/2024
Termination Date
Termination Reason
7/1/2024
Site closure
Contacts
Authorizing Official
Community Health Care Inc
Tom Bowman, CEO
(563) 336-3000 Ext: 3112
Primary Contact
Community Health Care, Inc.
Sarah Brondyke, Pharmacy Coordinator
(563) 336-3059
Addresses
Street Address
530 Vine St
Davenport, IA 52802-3459
Billing Address
Community Health Care, Inc.
500 W River Drive Davenport, IA
Davenport, IA 52801
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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