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CHC12888-01 LORAIN COUNTY HEALTH & DENTISTRY (Active)
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Main Details
Name
LORAIN COUNTY HEALTH & DENTISTRY
Subdivision Name
Type
HRSA-Funded Health Center
Site ID
BPS-H80-008245
340B ID
CHC12888-01
Grant Number
H80CS12888
Additional Details
Current Program Status
Active
Registration Date
6/7/2010
Participating Start Date
1/1/2004
Participating Approval Date
12/13/2003
Last Recertification Date
2/20/2025
Contacts
Authorizing Official
Lorain County Health & Dentistry
Ben T Kosewski, President & CEO
(440) 233-0159
Primary Contact
Lorain County Health & Dentistry
lisa hemker, CFO
(440) 233-1075
Addresses
Street Address
3745 GROVE AVENUE
LORAIN, OH 44055
Billing Address
LORAIN COUNTY HEALTH & DENTISTRY
1205 BROADWAY AVE.
LORAIN, OH 44052
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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1/13/06 UPDATED ENTITY NAME (WAS FAMILY CARE CENTER OF LORAIN)
06/09/2010
June 2025
June 2025
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