Addresses | Shipping Address | Delete | Recertification | Community Health Centers of Greater Dayton
1074 Patterson Rd
Dayton, OH 45420-1522 | | 2/21/2025 7:28 AM |
Addresses | Shipping Address | Insert | Recertification | | Community Health Centers of Greater Dayton Pharmacy
1323 W 3rd St.
Dayton, OH 45402-6714 | 2/21/2025 7:28 AM |
Details | Last Recertification Date | Update | Recertification | 2/5/2024 11:33:53 AM | 2/21/2025 7:28:50 AM | 2/21/2025 7:28 AM |
Contacts | Primary Contact | Update | Recertification | Moss, Dori
Practice Manager
Alex Central Drew Health Center
9372470304-4000 | Moss, Dori
Practice Manager
Charles Drew Health Center
9374614336-1011 | 2/19/2025 3:06 PM |
Contacts | Primary Contact | Update | Recertification | Moss, Dori
Practice Manager
Charles Drew Health Center
9374614336-1011 | Moss, Dori
Practice Manager
Alex Central Drew Health Center
9372470304-4000 | 2/19/2025 3:04 PM |
Contacts | Primary Contact | Update | Recertification | Moss, Dori
Practice Manager
Alex Central Health Center
9372470304-4000 | Moss, Dori
Practice Manager
Charles Drew Health Center
9374614336-1011 | 2/19/2025 3:02 PM |
Details | Last Recertification Date | Update | Recertification | 2/10/2023 12:08:29 PM | 2/5/2024 11:33:53 AM | 2/5/2024 11:33 AM |
Contacts | Primary Contact | Update | Recertification | Griffith, Bethany
Practice Manager
Patterson Park Health Center
9372586330-6000 | Moss, Dori
Practice Manager
Alex Central Health Center
9372470304-4000 | 2/10/2023 12:08 PM |
Details | Last Recertification Date | Update | Recertification | 2/18/2022 5:08:55 PM | 2/10/2023 12:08:29 PM | 2/10/2023 12:08 PM |
Details | Last Recertification Date | Update | Recertification | 2/12/2021 11:39:36 AM | 2/18/2022 5:08:55 PM | 2/18/2022 5:08 PM |
Details | Last Recertification Date | Update | Recertification | 2/7/2020 6:53:21 AM | 2/12/2021 11:39:36 AM | 2/12/2021 11:39 AM |
Addresses | Shipping Address | Delete | Recertification | Community Health Centers of Greater Dayton
1323 W 3rd St
Dayton, OH 45402-6714 | | 2/7/2020 6:53 AM |
Addresses | Shipping Address | Insert | Recertification | | Community Health Centers of Greater Dayton
1074 Patterson Rd
Dayton, OH 45420-1522 | 2/7/2020 6:53 AM |
Contacts | Primary Contact | Update | Recertification | Stokes, Carol
Practice Manager
Charles Drew Health Center
9374614336-1011 | Griffith, Bethany
Practice Manager
Patterson Park Health Center
9372586330-6000 | 2/7/2020 6:53 AM |
Details | Last Recertification Date | Update | Recertification | 2/13/2019 7:17:44 AM | 2/7/2020 6:53:21 AM | 2/7/2020 6:53 AM |
Addresses | Shipping Address | Insert | Recertification | | Community Health Centers of Greater Dayton
1323 W 3rd St
Dayton, OH 45402-6714 | 2/13/2019 7:17 AM |
Details | Last Recertification Date | Update | Recertification | 2/23/2018 1:21:17 PM | 2/13/2019 7:17:44 AM | 2/13/2019 7:17 AM |
Details | Last Recertification Date | Update | Recertification | | 2/23/2018 1:21:17 PM | 2/23/2018 1:21 PM |
Details | Is Authorizing Official EHB Data | Update | Recertification | False | | 2/23/2018 1:21 PM |
Contacts | Primary Contact | Update | Recertification | Stokes, Carol
Practice Manager
9374614336-1011 | Stokes, Carol
Practice Manager
Charles Drew Health Center
9374614336-1011 | 2/23/2018 1:21 PM |
Contacts | Authorizing Official | Update | | HOPKINS, GREGORY
EXECUTIVE DIRECTOR
9375869733-1023 | HOPKINS, GREGORY
EXECUTIVE DIRECTOR
Community Health Centers of Greater Dayton
9375869733-1023 | 2/8/2018 1:10 PM |
Contacts | Signed By | Update | | HOPKINS, GREGORY
EXECUTIVE DIRECTOR
9375869733-1023 | HOPKINS, GREGORY
EXECUTIVE DIRECTOR
Community Health Centers of Greater Dayton
9375869733-1023 | 2/8/2018 1:10 PM |
Contacts | Authorizing Official | Insert | | | HOPKINS, GREGORY
EXECUTIVE DIRECTOR
9375869733-1023 | 4/27/2017 4:26 PM |
Contacts | Signed By | Insert | | | HOPKINS, GREGORY
EXECUTIVE DIRECTOR
9375869733-1023 | 4/27/2017 4:26 PM |
Addresses | Main Address | Insert | | |
4290 N James H McGee Blvd
Dayton, OH 45417-9536 | 3/16/2017 3:05 PM |
Contacts | Primary Contact | Insert | | | Stokes, Carol
Practice Manager
9374614336-1011 | 3/16/2017 3:05 PM |
Addresses | Billing Address | Insert | | | Community Health Centers of Greater Dayton
1323 W 3rd St
Dayton, OH 45402-6714 | 3/7/2017 5:55 PM |
Dates | Participating Approval Date | Update | | | 3/7/2017 12:00:00 AM | 3/7/2017 5:54 PM |
Details | State | Update | | Pending | Active | 3/7/2017 5:54 PM |
Dates | Start Date | Update | | | 4/1/2017 12:00:00 AM | 3/7/2017 5:54 PM |
Details | 340B ID | Update | | ONLINE_REG_75672 | CHC11332-06 | 3/7/2017 2:35 PM |
Details | 340B ID | Update | | ONLINE_REG | ONLINE_REG_75672 | 3/2/2017 3:25 PM |
Details | Last Recertification Date | Insert | | | | 3/2/2017 3:25 PM |
Details | Grant Number | Insert | | | H80CS12882 | 3/2/2017 3:25 PM |
Details | 340B ID | Insert | | | ONLINE_REG | 3/2/2017 3:25 PM |
Details | Is Authorizing Official EHB Data | Insert | | | False | 3/2/2017 3:25 PM |
Dates | Last Date That 340B Drugs Purchased | Insert | | | | 3/2/2017 3:25 PM |
Details | Medicare Provider Number | Insert | | | | 3/2/2017 3:25 PM |
Details | Entity Name | Insert | | | COMMUNITY HEALTH CENTERS OF GREATER DAYTON | 3/2/2017 3:25 PM |
Details | Program Code | Insert | | | CH | 3/2/2017 3:25 PM |
Details | Entity Subname | Insert | | | Community Health Centers of Greater Dayton - Mobile Health Unit | 3/2/2017 3:25 PM |
Dates | Participating Approval Date | Insert | | | | 3/2/2017 3:25 PM |
Details | State | Insert | | | Pending | 3/2/2017 3:25 PM |
Dates | Registration Date | Insert | | | 3/2/2017 12:00:00 AM | 3/2/2017 3:25 PM |
Dates | Signed By Date | Insert | | | 3/2/2017 12:00:00 AM | 3/2/2017 3:25 PM |
Dates | Start Date | Insert | | | | 3/2/2017 3:25 PM |
Terminations | Termination Comments | Insert | | | | 3/2/2017 3:25 PM |
Terminations | Termination Date | Insert | | | | 3/2/2017 3:25 PM |
Terminations | Termination Effective Date | Insert | | | | 3/2/2017 3:25 PM |
Terminations | Termination Reason | Insert | | | | 3/2/2017 3:25 PM |