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HV010720 EAST BOSTON NEIGHBORHOOD HEALTH CENTER (Terminated)
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Main Details
Name
EAST BOSTON NEIGHBORHOOD HEALTH CENTER
Subdivision Name
Type
Ryan White Part C
340B ID
HV010720
Grant Number
H76HA00020
Additional Details
Current Program Status
Terminated
Registration Date
7/1/1997
Participating Start Date
7/1/1997
Participating Approval Date
9/2/2003
Last Recertification Date
2/6/2019
Time Period the Assistance was Received
Termination Date
Termination Reason
10/1/2019
Business decision by the Covered Entity
Contacts
Authorizing Official
East Boston Neighborhood Health Center
Manuel Lopes, CEO
(617) 568-4570
Primary Contact
East Boston Neighborhood Health Center
Ernani DeAraujo, Vice President & General Counsel
(617) 568-4567
Addresses
Street Address
79 Paris Street
EAST BOSTON, MA 02128
Billing Address
East Boston Neighborhood Health Center
10 Gove Street
East Boston, MA 02128
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
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