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CH02207C ANTHONY L JORDAN HEALTH CORP (Active)
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Main Details
Name
ANTHONY L JORDAN HEALTH CORP
Subdivision Name
Jordan Health Link
Type
HRSA-Funded Health Center
Site ID
BPS-H80-010413
340B ID
CH02207C
Grant Number
H80CS21582
Additional Details
Current Program Status
Active
Registration Date
4/1/2004
Participating Start Date
10/1/2011
Participating Approval Date
3/23/2005
Last Recertification Date
2/13/2025
Contacts
Authorizing Official
Anthony L. Jordan Health Corporation
Jason Dunn, Chief Business Officer
(585) 423-2828
Primary Contact
Jordan Health
Nadirah A. Stephens, 340B Analyst
(585) 423-5886
Addresses
Street Address
273 Upper Falls Blvd
Rochester, NY 14605-2103
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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9/30/11 REINSTATEMENT: PARTICIPATING 4/1/04 THRU 6/30/06, NOT PARTICIPATING 7/1/06 THRU 9/30/11 (WAS SUBRECIPIENT TO WESTSIDE-CH02112G), REMOVED SHIPPING AND BILLING ADDRESSES (BOTH WERE ANTHONY L. JORDAN HEALTH CENTER, 82 HOLLAND STREET, 14605), UPDATED SUBDIV NAME (WAS WIC PROGRAM), UPDATED GRANT NUMBER (WAS H80CS00156); 4/5/06 - ADDR CORRECTION (WAS 274 UPPER FALLS BLVD)
09/30/2011
4/5/06 - ADDR CORRECTION (WAS 274 UPPER FALLS BLVD), 3/23/05 - NEW CONTACT
06/30/2006
May 2025
May 2025
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