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CH05675A NEIGHBORHOOD HEALTHSOURCE (Active)
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Main Details
Name
NEIGHBORHOOD HEALTHSOURCE
Subdivision Name
SHERIDAN CLINIC
Type
HRSA-Funded Health Center
Site ID
BPS-H80-004864
340B ID
CH05675A
Grant Number
H80CS00516
Additional Details
Current Program Status
Active
Registration Date
4/1/2003
Participating Start Date
4/1/2003
Participating Approval Date
1/21/2010
Last Recertification Date
2/21/2025
Contacts
Authorizing Official
Neighborhood HealthSource
Steven J. Knutson, Executive Director
(612) 287-2428
Primary Contact
Neighborhood HealthSource
Cheryl Gehrke, Director of Clinical Ops
(612) 287-2496
Addresses
Street Address
342 13th Ave NE
Minneapolis, MN 55413-1265
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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12/22/05 UPDATED ENTITY NAME
01/21/2010
April 2025
April 2025
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