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CH02124K FAMILY HEALTH NETWORK OF CENTRAL NEW YORK INC (Active)
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Main Details
Name
FAMILY HEALTH NETWORK OF CENTRAL NEW YORK INC
Subdivision Name
SBHC-DERUYTER CENTRAL SCHOOL
Type
HRSA-Funded Health Center
Site ID
BPS-H80-005407
340B ID
CH02124K
Grant Number
H80CS00065
Additional Details
Current Program Status
Active
Registration Date
12/6/2006
Participating Start Date
1/1/2007
Participating Approval Date
12/6/2006
Last Recertification Date
2/24/2025
Contacts
Authorizing Official
Family Health Network of CNY, Inc.
Kimberly Marie Osborne, Chief Executive Officer
(607) 753-3797
Primary Contact
Family Health Network of CNY, Inc
AMY M. SKEELE, 340B Analyst/Credentialing Coordinator
(607) 753-3797
Addresses
Street Address
711 RAILROAD STREET
DERUYTER, NY 13052
Billing Address
FAMILY HEALTH NETWORK OF CENTRAL NEW YORK INC
85 SOUTH WEST STREET
HOMER, NY 13077-1500
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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8/27/09 ADDED SHIP TO.,8/27/09 ADDED AMDP.
01/12/2010
June 2025
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