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CH01081AA SOUTHWEST COMMUNITY HEALTH CENTER INC (Active)
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Main Details
Name
SOUTHWEST COMMUNITY HEALTH CENTER INC
Subdivision Name
SOUTHWEST COMMUNITY HEALTH CENTER, INC - UC
Type
HRSA-Funded Health Center
Site ID
BPS-H80-035890
340B ID
CH01081AA
Grant Number
H80CS00613
Additional Details
Current Program Status
Active
Registration Date
1/3/2024
Participating Start Date
4/1/2024
Participating Approval Date
1/4/2024
Last Recertification Date
2/10/2025
Contacts
Authorizing Official
South-West Community Health Center, Inc.
Mollie Melbourne, President/CEO
(203) 332-3501
Primary Contact
Southwest Community Health center,Inc
Naila Haroon, Manager 340 B Program & Credentialing
(203) 332-3564
Addresses
Street Address
1020 Fairfield Ave
Bridgeport, CT 06605-1187
Billing Address
Southwest Community Health Center,Inc.
46 Albion St
Bridgeport, CT 06605-2602
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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