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CH027000 Central Jersey Medical Center Inc. (Active)
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Main Details
Name
Central Jersey Medical Center Inc.
Subdivision Name
Central Jersey Medical Center Inc.
Type
HRSA-Funded Health Center
Site ID
BPS-H80-007901
340B ID
CH027000
Grant Number
H80CS00253
Additional Details
Current Program Status
Active
Registration Date
1/1/2005
Participating Start Date
1/1/2005
Participating Approval Date
11/5/2004
Last Recertification Date
3/1/2025
Contacts
Authorizing Official
Jewish Renaissance Medical Center
Thomas Boggiano, Chief Financial Officer
(732) 376-6659
Primary Contact
Central Jersey Medical Center
Simi Koyejo, Director Of Finance
(732) 376-6636
Addresses
Street Address
275 Hobart St
Perth Amboy, NJ 08861-4310
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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11/09/11 - Changed Main address from 272A HOBART STREET and billing address from 149 Kearny ave, 3rd floor. Changed AO name from Mark Roberts and contact name from Nelson X cruz. 7/20/07 CONVERTED ADDR LINE 2 TO BILL TO
11/09/2011
7/20/07 CONVERTED ADDR LINE 2 TO BILL TO
07/20/2007
May 2025
May 2025
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