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CH05848A NEIGHBORHOOD HEALTH CLINICS, INC. (Terminated)
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Main Details
Name
NEIGHBORHOOD HEALTH CLINICS, INC.
Subdivision Name
PARK CENTER SITE
Type
HRSA-Funded Health Center
Site ID
BPS-H80-006771
340B ID
CH05848A
Grant Number
H80CS00548
Additional Details
Current Program Status
Terminated
Registration Date
2/26/2010
Participating Start Date
4/1/2010
Participating Approval Date
3/10/2010
Last Recertification Date
1/28/2015
Termination Date
Termination Reason
7/1/2015
Site closure
Contacts
Authorizing Official
Mary S. Haupert, President/CEO
(260) 458-2644
Primary Contact
Neighborhood Health Clinics, Inc.
Janine Klingenberger, Clinical Director
(260) 458-2641 Ext: 3610
Addresses
Street Address
909 E STATE BLVD.
FORT WAYNE, IN 46805
Billing Address
NEIGHBORHOOD HEALTH CLINICS, INC.
PO BOX 11949
FORT WAYNE, IN 46862
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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