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FQHCLA414B METRO HEALTH, INC. (Terminated)
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Main Details
Name
METRO HEALTH, INC.
Subdivision Name
600 Pennsylvania Avenue, SE
Type
Health Center Program Look-Alike
Site ID
BPS-LAL-037741
340B ID
FQHCLA414B
Grant Number
LALCS39530
Additional Details
Current Program Status
Terminated
Registration Date
1/2/2024
Participating Start Date
4/1/2024
Participating Approval Date
1/8/2024
Last Recertification Date
Termination Date
Termination Reason
4/1/2025
Failure to recertify
Contacts
Authorizing Official
Metro Health, Inc
Vincent Lopez, Chief Executive Officer
(202) 638-0750
Primary Contact
Metro Health, Inc
Shayla Graham-Brock, Chief Medical Officer
(202) 638-0750
Addresses
Street Address
600 Pennsylvania Avenue, SE # Unit #LL1
WASHINGTON, DC 20003-4316
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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