Covered Entity Details

CH051831A HEART OF OHIO FAMILY HEALTH CENTERS (Active)

Main Details

Name

HEART OF OHIO FAMILY HEALTH CENTERS

Subdivision Name

Capital Park Family Health Center at Innis Road

Type

HRSA-Funded Health Center

Site ID

BPS-H80-010832

340B ID

CH051831A

Grant Number

H80CS07897

Additional Details

Current Program Status

Active

Registration Date

4/15/2014

Participating Start Date

7/1/2014

Participating Approval Date

5/8/2014

Last Recertification Date

2/17/2025

Contacts

Authorizing Official

Heart of Ohio Family Health Center
M Buhari Mohammed, CEO
(614) 338-6818 Ext: 1118

Primary Contact

Heart of Ohio Family Health
Alexandra Zeleski, Director of Pharmacy
(614) 235-5555 Ext: 1136

Addresses

Street Address

2365 Innis Rd
Columbus, OH 43224-3730

Billing Address

Heart of Ohio Family Health Centers - CP
5000 East Main Street
Columbus, OH 43213

Comment	Last Updated On
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5/8/14 participating 10/1/04 thru 3/31/14, not participating 4/1/14 thru 6/30/14 due to failure to recertify	05/08/2014
4/15/14 Corrected site ID. 7/7/09 NAME CHANGE (WAS MOUNT CARMEL CAPITAL PARK FAMILY HEALTH CENTER)10/12/05 - ADDRESS CHANGE FOR BILLING AND SHIPPING (WAS 4040 E. BROAD STREET, WHITEHALL, OHIO 43213), ADDED MEDICAID #	04/15/2014
7/7/09 NAME CHANGE (WAS MOUNT CARMEL CAPITAL PARK FAMILY HEALTH CENTER)10/12/05 - ADDRESS CHANGE FOR BILLING AND SHIPPING (WAS 4040 E. BROAD STREET, WHITEHALL, OHIO 43213), ADDED MEDICAID #	07/22/2009

340B Drug Pricing Program Database