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FQHCLA407L Metropolitan Charities, Inc. (Active)
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Main Details
Name
Metropolitan Charities, Inc.
Subdivision Name
METRO at Fletcher Avenue
Type
Health Center Program Look-Alike
Site ID
BPS-LAL-037865
340B ID
FQHCLA407L
Grant Number
LALCS35348
Additional Details
Current Program Status
Active
Registration Date
12/20/2023
Participating Start Date
12/21/2023
Participating Approval Date
12/21/2023
Last Recertification Date
2/21/2025
Contacts
Authorizing Official
Metropolitan Charities, Inc.
Priya Rajkumar, Chief Executive Officer
(727) 321-3854 Ext: 1230
Primary Contact
Metropolitan Charities, Inc.
Samantha Legg, Vice President of Clinical Services and Compliance
(727) 321-3854 Ext: 1265
Addresses
Street Address
3500 E Fletcher Ave
Suite 302
Tampa, FL 33613-4797
Billing Address
Metro Inclusive Health
701 94th Avenue North
Suite 250
St Petersburg, FL 33702
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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