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CH020110 WHITNEY M. YOUNG, JR., HEALTH CENTER, INC. (Active)
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Main Details
Name
WHITNEY M. YOUNG, JR., HEALTH CENTER, INC.
Subdivision Name
WHITNEY M. YOUNG, JR. HEALTH CENTER
Type
HRSA-Funded Health Center
Site ID
BPS-H80-003829
340B ID
CH020110
Grant Number
H80CS00433
Additional Details
Current Program Status
Active
Registration Date
10/1/1995
Participating Start Date
10/1/1995
Participating Approval Date
4/2/2004
Last Recertification Date
2/14/2025
Contacts
Authorizing Official
Whitney M. Young, Jr. Health Center, Inc.
David Harold Shippee, President & CEO
(518) 591-4459
Primary Contact
Whitney M Young Jr Health Center
John E Fraher, CFO
(518) 591-4461
Addresses
Street Address
920 Lark Dr
Albany, NY 12207-1300
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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ENTITY NAME MOD, 11/8/05 - CH ADDR (WAS LARK & ARBOR DRIVES)
11/08/2005
May 2025
May 2025
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