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CH05848D NEIGHBORHOOD HEALTH CLINICS (Active)
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Main Details
Name
NEIGHBORHOOD HEALTH CLINICS
Subdivision Name
Neighborhood Health Family Medicine Center
Type
HRSA-Funded Health Center
Site ID
BPS-H80-038193
340B ID
CH05848D
Grant Number
H80CS00548
Additional Details
Current Program Status
Active
Registration Date
5/29/2024
Participating Start Date
7/1/2024
Participating Approval Date
6/11/2024
Last Recertification Date
2/11/2025
Contacts
Authorizing Official
Neighborhood Health Clinics, Inc.
Angela Zaegel, CEO
(260) 458-2641 Ext: 3634
Primary Contact
Neighborhood Health Clinic
Andrea Mekonnen, Pharmacy Director
(260) 458-2641 Ext: 3775
Addresses
Street Address
750 Broadway STE 350
Fort Wayne, IN 46802-1412
Billing Address
Neighborhood Health Clinics, Inc
PO Box 11949
Fort Wayne, IN 46862
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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