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CHC33659-02 MY COMMUNITY HEALTH CENTER (Active)
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Main Details
Name
MY COMMUNITY HEALTH CENTER
Subdivision Name
SE Community Market and Health Center
Type
HRSA-Funded Health Center
Site ID
BPS-H80-038014
340B ID
CHC33659-02
Grant Number
H80CS33659
Additional Details
Current Program Status
Active
Registration Date
10/2/2024
Participating Start Date
1/1/2025
Participating Approval Date
12/4/2024
Last Recertification Date
2/10/2025
Contacts
Authorizing Official
My Community Health Center
Juan Paulo Afable, CEO
(502) 509-8987
Primary Contact
My Community Health Center
Kelly Lorenz, Chief Financial Officer
(330) 363-1310
Addresses
Street Address
1318 Gonder Ave SE UNIT 1
Canton, OH 44707-3450
Billing Address
My Community Health Center
2600 Seventh St. SW
Canton, OH 44710
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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June 2025
June 2025
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