Hermanowski Family Foundation Initial Request Form

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Organization Name: cookeville regional medical center foundation
Legal Name (if Different):
Also Known As:
Mailing Address: 1 MEDICAL CENTER BLVD
City: COOKEVILLE
State: Tennessee
Postal Code: 38501-4294
Main Phone: 9317832003
Main Fax: 9317832093
Organization Website: cookevilleregionalcharity.org
Employer ID Number: 20-1550666
Organization Tax Status: 501c3

Proposal Information

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Today’s Date: 10/20/2023
Requested Amount: $5,000.00

Project Title: pink ribbon and lung fund
Project Description:

CRMC Women’s Center offers breast imaging services that are fully accredited in mammography, stereotactic breast biopsy, ultrasound-guided breast biopsy, and breast ultrasound. In addition to state-of-the-art diagnostic technology and treatment options, the program provides nurse navigator services to answer patient questions, assist with choices and locate resources. We recommend American Cancer Society standards to patients seeking services, and have the Pink Ribbon of Hope Program available to help when there is a financial barrier preventing breast health services. We also provide low dose CT lung cancer screenings through Cookeville Regional Medical Center’s Imaging and Cancer Center’s. This program also utilizes a designated nurse navigator for lung cancer patients.

Total Project Budget: 52,550.00

Other Funding
Sources For The Project (Committed & Potential): potentially other foundations

Project Duration: yearly
Geographical Area Served: 14 county upper cimberland region including cannon, clay, cumberland, dekalb, fentress, jackson, macon, overton, pickett, putnam, smith, white, warren, and van buran counties
Age Group To Be Served: all ages

Contact Information

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Contact Prefix (Mr,Mrs etc.): mr.
Contact First Name: Ben
Contact Last Name: Danner
Contact Title: grants coordinator
Contact Phone: 931-783-5501
Contact Email: BWDanner@crmchealth.org