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CH024580 PROJECT RENEWAL, INC. (Active)
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Main Details
Name
PROJECT RENEWAL, INC.
Subdivision Name
PROJECT RENEWAL (please note Varick street site is administrative, no patients are seen but the EHB form required we write a number in the blank for hours of operation)
Type
HRSA-Funded Health Center
Site ID
BPS-H80-004659
340B ID
CH024580
Grant Number
H80CS00306
Additional Details
Current Program Status
Active
Registration Date
7/10/2019
Participating Start Date
10/1/2019
Participating Approval Date
7/16/2019
Last Recertification Date
2/27/2025
Contacts
Authorizing Official
Project Renewal, Inc.
Miranda Von Dornum, Chief Medical Officer
(917) 748-6041
Primary Contact
Project Renewal, Inc.
Steve Phillips, Sr. Director Clinical Operations
(646) 584-9782
Addresses
Street Address
200 VARICK STREET FL 9
NEW YORK, NY 10014-4810
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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Participated starting 1/1/2008, terminated 7/1/2019. Reinstated 10/1/2019.
07/12/2019
April 2025
April 2025
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