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CH022070 ANTHONY L JORDAN HEALTH CORP (Active)
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Main Details
Name
ANTHONY L JORDAN HEALTH CORP
Subdivision Name
Main Site
Type
HRSA-Funded Health Center
Site ID
BPS-H80-010414
340B ID
CH022070
Grant Number
H80CS21582
Additional Details
Current Program Status
Active
Registration Date
4/1/1996
Participating Start Date
10/1/2011
Participating Approval Date
3/23/2005
Last Recertification Date
2/10/2025
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
82 Holland St
Rochester, NY 14605-2131
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 4/1/96 THRU 6/30/06, NOT PARTICIPATING 7/1/06 THRU 9/30/11 (WAS SUBRECIPIENT TO WESTSIDE-CH02112G), UPDATED GRANT NUMBER (WAS H80CS00156)
09/30/2011
NEW CONTACT INFO, ADDRESS CORRECTION, 3/23/05 - NEW CONTACT
06/30/2006
April 2025
April 2025
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