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CH02371Z INSTITUTE FOR FAMILY HEALTH, THE (Terminated)
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Main Details
Name
INSTITUTE FOR FAMILY HEALTH, THE
Subdivision Name
FAMILY HEALTH CENTER OF PORT EWEN
Type
HRSA-Funded Health Center
Site ID
BPS-H80-004974
340B ID
CH02371Z
Grant Number
H80CS00768
Additional Details
Current Program Status
Terminated
Registration Date
8/10/2007
Participating Start Date
10/1/2007
Participating Approval Date
8/13/2007
Last Recertification Date
2/2/2022
Termination Date
Termination Reason
7/1/2022
Site closure
Contacts
Authorizing Official
The Institute for Family Health
Caroline DiCioccio, Chief Financial Officer
(212) 633-0800 Ext: 1409
Primary Contact
The Institute For family Health
Yoshmatie Baburam, 340B Director
(212) 633-0815 Ext: 1382
Addresses
Street Address
213 BROADWAY
PORT EWEN, NY 12401-5901
Billing Address
INSTITUTE FOR FAMILY HEALTH
2006 Madison Ave
NEW YORK, NY 10035
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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8/26/10 UPDATED ENTITY NAME (WAS INSTITUTE FOR URBAN FAMILY HEALTH)
08/27/2010
April 2025
April 2025
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