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CHC10584-00 CENTER STREET COMMUNITY C (Active)
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Main Details
Name
CENTER STREET COMMUNITY C
Subdivision Name
Center Street Community Health Center
Type
HRSA-Funded Health Center
Site ID
BPS-H80-010155
340B ID
CHC10584-00
Grant Number
H80CS10584
Additional Details
Current Program Status
Active
Registration Date
6/8/2009
Participating Start Date
7/1/2009
Participating Approval Date
6/15/2009
Last Recertification Date
2/28/2025
Contacts
Authorizing Official
Center Street Community Health Center
Cliff Edwards, CEO
(740) 751-6614
Primary Contact
Center Street Community Clinic
Audrey Adkins, CFO
(740) 751-4531
Addresses
Street Address
136 W Center St
Marion, OH 43302-3704
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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3/7/12 - Added suite # to main address, changed AO and contact from PATRICIA M. CLEMONS.
03/07/2012
April 2025
April 2025
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