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CH02550A FLOATING HOSPITAL INCORPORATED (THE) (Terminated)
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Main Details
Name
FLOATING HOSPITAL INCORPORATED (THE)
Subdivision Name
FLATLANDS
Type
HRSA-Funded Health Center
Site ID
BPS-H80-001785
340B ID
CH02550A
Grant Number
H80CS00268
Additional Details
Current Program Status
Terminated
Registration Date
4/25/2017
Participating Start Date
7/1/2017
Participating Approval Date
4/25/2017
Last Recertification Date
2/3/2021
Termination Date
Termination Reason
4/1/2022
Site closure
Contacts
Authorizing Official
The Floating Hospital
Shani Andre, VP/CMO
(718) 784-2240 Ext: 140
Primary Contact
The Floating Hospital
Brandon Dante Barnes, Pharmacy Manager
(917) 270-2956
Addresses
Street Address
10875 Avenue D
Brooklyn, NY 11236-1931
Billing Address
THE FLOATING HOSPITAL
PO BOX 8397
LONG ISLAND CITY, NY 11101
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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4/25/17 Initial start 9/9/2015, termination 10/1/2012, reinstate 7/1/2017.
04/25/2017
6/23/10 UPDATED BILL TO WAS (41-40 27TH STREET, LONG ISLAND CITY, NY, 11101); 2/24/10 UPDATED BILL-TO (WAS 90 WILLIAM ST, #1402, NY, NY 10038)
06/23/2010
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