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CH056820 COMMUNITY ACTION AGENCY OF COLUMBIANA COUNTY INC (Active)
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Main Details
Name
COMMUNITY ACTION AGENCY OF COLUMBIANA COUNTY INC
Subdivision Name
DBA LISBON COMMUNITY HEALTH CENTER
Type
HRSA-Funded Health Center
Site ID
BPS-H80-003836
340B ID
CH056820
Grant Number
H80CS00197
Additional Details
Current Program Status
Active
Registration Date
7/1/1997
Participating Start Date
7/1/1997
Participating Approval Date
1/12/2010
Last Recertification Date
2/20/2025
Contacts
Authorizing Official
Community Action Agency of Columbiana County
Thomas E Andrews, CEO
(330) 424-7221 Ext: 104
Primary Contact
Community Action Agency of Columbiana County
Jenna E Wonner, COO
(330) 424-7221 Ext: 103
Addresses
Street Address
7880 Lincole Pl
Lisbon, OH 44432-8322
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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7/11/11 - CHANGED AO INFORMATION FROM JUDITH E. TAYLOR. CHANGED ADDRESS HEADER. 7/13/11 - CHANGED CONTACT NAME FROM ZORAIDA REYNOSO MD.
07/13/2011
7/11/11 - CHANGED AO INFORMATION FROM JUDITH E. TAYLOR. CHANGED ADDRESS HEADER. 7/13/11 - CHANGED CONTACT NAME FROM ZORAIDA REYNOSO MD.
07/13/2011
June 2025
June 2025
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