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CH04907W Community Health Centers Of Pinellas, Inc. (Active)
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Main Details
Name
Community Health Centers Of Pinellas, Inc.
Subdivision Name
Evara Health - Milton Park
Type
HRSA-Funded Health Center
Site ID
BPS-H80-033870
340B ID
CH04907W
Grant Number
H80CS00463
Additional Details
Current Program Status
Active
Registration Date
1/2/2024
Participating Start Date
4/1/2024
Participating Approval Date
1/10/2024
Last Recertification Date
2/10/2025
Contacts
Authorizing Official
Community Health Centers of Pinellas, Inc.
Elodie Leigh Dorso, CEO
(727) 824-8100
Primary Contact
Community Health Centers of Pinellas, Inc
Edward Kucher, CRO
(727) 824-8100
Addresses
Street Address
1260 S Martin Luther King Jr Ave
Clearwater, FL 33756-4172
Billing Address
Evara Health
14100 58th Street North
Clearwater, FL 33760
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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