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CH02007C HENRY J. AUSTIN HEALTH CENTER INC (Active)
Main Details
Name
HENRY J. AUSTIN HEALTH CENTER INC
Subdivision Name
Henry J. Austin Health Center - Ewing
Type
HRSA-Funded Health Center
Site ID
BPS-H80-005574
340B ID
CH02007C
Grant Number
H80CS00531
Contacts
Authorizing Official
Henry J Austin Health Center
Merkle Cherry, Interim Chief Executive Officer
(609) 462-0140
Primary Contact
Henry J Austin Health Center
POONAM KALARIA, 340B Manager
(609) 437-5877
Additional Details
Current Program Status
Active
Registration Date
7/1/1995
Participating Start Date
7/1/1995
Participating Approval Date
4/2/2004
Last Recertification Date
2/12/2024
Addresses
Street Address
112 Ewing St
Trenton, NJ 08609-1004
Billing Address
Henry J. Austin Health Center
321 N. Warren Street
Trenton, NJ 08618
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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ENTITY NAME MOD; 5/25/06 - UPDATED ADDRESS (PREVIOUS ADDRESS: 72 EWING ST, TRENTON NJ 08609)
11/07/2006
May 2024
May 2024
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