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STATE OF CONNECTICUT MAINTENANCE DRUG NETWORK As of: JUNE 28, 2018INDIANA CITYPHARMACYADDRESSCITYSTATEZIP CODEPHONE101 W ROCHESTER STAKRONIN469109997 5748934413105 N PARK AVEALEXANDRIAIN460012055
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Gather all necessary information and documents such as personal identification, insurance information, and medical history.
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Community health center is an organization that provides primary healthcare services to underserved populations.
Community health centers are required to file by the organizations that are designated as such and receive funding from the federal government.
Community health center forms can be completed online or by submitting paper forms to the appropriate regulatory agency.
The purpose of community health center forms is to collect data on the services provided, patient demographics, and outcomes of the healthcare services.
Information such as patient visits, services provided, patient demographics, and health outcomes must be reported on community health center forms.
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