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CH02013A HERITAGE HEALTH AND HOUSING, INC. (Terminated)
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Main Details
Name
HERITAGE HEALTH AND HOUSING, INC.
Subdivision Name
HERITAGE HEALTH CARE @ PS 192
Type
HRSA-Funded Health Center
Site ID
BPS-H80-008128
340B ID
CH02013A
Grant Number
H80CS11285
Additional Details
Current Program Status
Terminated
Registration Date
2/20/2018
Participating Start Date
4/1/2018
Participating Approval Date
2/27/2018
Last Recertification Date
2/2/2023
Termination Date
Termination Reason
4/1/2024
Site closure
Contacts
Authorizing Official
Heritage Health & Housing, Inc.
Danielle F Milano, Chief of Medical Affairs
(917) 767-7271
Primary Contact
Heritage Health and Housing
Douglas B Blomberg, Chief Financial Officer
(212) 862-0054
Addresses
Street Address
500 WEST 138TH STREET; RM 123
NEW YORK, NY 10031-7941
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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Participating from 10/1/2006 through Termination on 4/1/2016; Reinstated 4/1/2018.
02/20/2018
9/14/2010 UPDATED GRANT NUMBER (WAS H80CS00783);
01/28/2011
May 2025
May 2025
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