Details | Last Recertification Date | Update | Recertification | 2/23/2024 5:12:45 PM | 2/10/2025 12:26:47 PM | 2/10/2025 12:26 PM |
Details | Last Recertification Date | Update | Recertification | 2/1/2023 2:49:01 PM | 2/23/2024 5:12:45 PM | 2/23/2024 5:12 PM |
Contacts | Primary Contact | Update | Change Request | Ramirez, Rina
Chief Medical Officer
Zufall Health Center
9733289100-311 | Veliz, Dayana M
Pharmacy Business Manager
Zufall Health Center
9733283344 | 3/6/2023 6:53 AM |
Contacts | Authorizing Official | Update | Change Request | TURBINER, EVA
PRESIDENT & CEO
Zufall Health Center
9733289100-1303 | Palm, Frances
President & CEO
Zufall Health Center
9733289100-1333 | 3/6/2023 6:53 AM |
Details | Is Authorizing Official EHB Data | Update | Change Request | False | | 3/6/2023 6:53 AM |
Details | Last Recertification Date | Update | Recertification | 2/10/2022 10:55:47 AM | 2/1/2023 2:49:01 PM | 2/1/2023 2:49 PM |
Details | Last Recertification Date | Update | Recertification | 2/3/2021 10:27:03 AM | 2/10/2022 10:55:47 AM | 2/10/2022 10:55 AM |
Contacts | Authorizing Official | Update | Profile Change Request | TURBINER, EVA
PRESIDENT & CEO
Zufall Health Center
9733289100-303 | TURBINER, EVA
PRESIDENT & CEO
Zufall Health Center
9733289100-1303 | 2/10/2022 10:41 AM |
Details | Last Recertification Date | Update | Recertification | 2/4/2020 2:51:16 PM | 2/3/2021 10:27:03 AM | 2/3/2021 10:27 AM |
Details | Last Recertification Date | Update | Recertification | 2/20/2019 4:55:52 PM | 2/4/2020 2:51:16 PM | 2/4/2020 2:51 PM |
Details | Last Recertification Date | Update | Recertification | 2/12/2018 12:09:49 PM | 2/20/2019 4:55:52 PM | 2/20/2019 4:55 PM |
Details | Last Recertification Date | Update | Recertification | 2/8/2017 12:00:00 AM | 2/12/2018 12:09:49 PM | 2/12/2018 12:09 PM |
Contacts | Primary Contact | Update | | Ramirez, Rina
Chief Medical Officer
9733289100-311 | Ramirez, Rina
Chief Medical Officer
Zufall Health Center
9733289100-311 | 1/10/2018 12:00 PM |
Contacts | Signed By | Update | | Ramirez, Rina
Chief Medical Officer
9733289100-311 | Ramirez, Rina
Chief Medical Officer
Zufall Health Center
9733289100-311 | 1/10/2018 12:00 PM |
Contacts | Authorizing Official | Update | | TURBINER, EVA
PRESIDENT & CEO
9733289100-303 | TURBINER, EVA
PRESIDENT & CEO
Zufall Health Center
9733289100-303 | 11/9/2017 5:18 PM |
Contacts | Authorizing Official | Insert | | | TURBINER, EVA
PRESIDENT & CEO
9733289100-303 | 5/31/2017 12:27 PM |
Addresses | Main Address | Insert | | |
71 4th St
Somerville, NJ 08876-3235 | 2/8/2017 1:03 PM |
Contacts | Primary Contact | Insert | | | Ramirez, Rina
Chief Medical Officer
9733289100-311 | 2/8/2017 1:03 PM |
Contacts | Signed By | Insert | | | Ramirez, Rina
Chief Medical Officer
9733289100-311 | 2/8/2017 1:03 PM |
Details | Last Recertification Date | Update | | 2/26/2016 12:00:00 AM | 2/8/2017 12:00:00 AM | 2/8/2017 1:03 PM |
Details | Last Recertification Date | Update | | 3/3/2015 12:00:00 AM | 2/26/2016 12:00:00 AM | 2/26/2016 2:02 PM |
Details | Last Recertification Date | Update | | | 3/3/2015 12:00:00 AM | 3/3/2015 8:13 AM |
Details | Is Authorizing Official EHB Data | Update | | | False | 3/3/2015 8:13 AM |
Dates | Participating Approval Date | Update | | | 2/27/2014 12:00:00 AM | 2/27/2014 3:34 PM |
Details | State | Update | | Pending | Active | 2/27/2014 3:34 PM |
Dates | Start Date | Update | | | 4/1/2014 12:00:00 AM | 2/27/2014 3:34 PM |
Details | 340B ID | Update | | ONLINE_REG | CH021335D | 2/27/2014 3:04 PM |
Details | Last Recertification Date | Insert | | | | 1/15/2014 11:16 PM |
Details | Grant Number | Insert | | | H80CS04211 | 1/15/2014 11:16 PM |
Details | 340B ID | Insert | | | ONLINE_REG | 1/15/2014 11:16 PM |
Details | Is Authorizing Official EHB Data | Insert | | | | 1/15/2014 11:16 PM |
Dates | Last Date That 340B Drugs Purchased | Insert | | | | 1/15/2014 11:16 PM |
Details | Medicare Provider Number | Insert | | | | 1/15/2014 11:16 PM |
Details | Entity Name | Insert | | | ZUFALL HEALTH CENTER, INC. | 1/15/2014 11:16 PM |
Details | Program Code | Insert | | | CH | 1/15/2014 11:16 PM |
Details | Entity Subname | Insert | | | Zufall Health Center Somerville | 1/15/2014 11:16 PM |
Dates | Participating Approval Date | Insert | | | | 1/15/2014 11:16 PM |
Details | State | Insert | | | Pending | 1/15/2014 11:16 PM |
Dates | Registration Date | Insert | | | 1/15/2014 12:00:00 AM | 1/15/2014 11:16 PM |
Dates | Signed By Date | Insert | | | 1/15/2014 12:00:00 AM | 1/15/2014 11:16 PM |
Dates | Start Date | Insert | | | | 1/15/2014 11:16 PM |
Terminations | Termination Comments | Insert | | | | 1/15/2014 11:16 PM |
Terminations | Termination Date | Insert | | | | 1/15/2014 11:16 PM |
Terminations | Termination Effective Date | Insert | | | | 1/15/2014 11:16 PM |
Terminations | Termination Reason | Insert | | | | 1/15/2014 11:16 PM |