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CH02056M Mosaic Health, Inc. (Terminated)
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Main Details
Name
Mosaic Health, Inc.
Subdivision Name
Unity Family Medicine at St. Mary's
Type
HRSA-Funded Health Center
Site ID
BPS-H80-000369
340B ID
CH02056M
Grant Number
H80CS00167
Additional Details
Current Program Status
Terminated
Registration Date
5/30/2006
Participating Start Date
7/1/2006
Participating Approval Date
5/30/2006
Last Recertification Date
2/12/2024
Termination Date
Termination Reason
7/1/2024
Business decision by the Covered Entity
Contacts
Authorizing Official
Mosaic Health, Inc.
Michael Joseph Leary, President/CEO
(585) 325-2280 Ext: 7302
Primary Contact
Mosaic Health, Inc.
Vanessa I. Simmons, Quality Specialist
(585) 325-2280 Ext: 7308
Addresses
Street Address
55 Genesee St
BK Building, 3rd Floor
ROCHESTER, NY 14611-3201
Billing Address
Mosaic Health, Inc.
1 S. Washington St
Suite 300
Rochester, NY 14614
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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1/9/12 OPA Error in termianting a contract pharmacy- site reactivated per JH17/12/11 - CHANGED AO FROM LOUIS T PARIS AND CONTACT FROM VANESSA LAGARES.
01/09/2013
7/12/11 - CHANGED AO FROM LOUIS T PARIS AND CONTACT FROM VANESSA LAGARES.
05/30/2006
May 2025
May 2025
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