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CH010600 FENWAY COMMUNITY HEALTH CENTER, INC. (Active)
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Main Details
Name
FENWAY COMMUNITY HEALTH CENTER, INC.
Subdivision Name
Fenway Health, Ansin Building
Type
HRSA-Funded Health Center
Site ID
BPS-H80-008120
340B ID
CH010600
Grant Number
H80CS00303
Additional Details
Current Program Status
Active
Registration Date
1/1/2004
Participating Start Date
1/1/2004
Participating Approval Date
10/27/2003
Last Recertification Date
2/19/2025
Contacts
Authorizing Official
Fenway Health
Jason Levy, Chief Financial Officer
(617) 927-6240
Primary Contact
Fenway Health
Sinclair Lao, Director of Pharmacy
(617) 927-6338
Addresses
Street Address
1340 Boylston St
Boston, MA 02215
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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NEW SITE 01/01/2004
07/23/2009
May 2025
May 2025
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