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CHC12866-00 BEACON CHRISTIAN COMMUNITY HEALTH CENTER (Active)
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Main Details
Name
BEACON CHRISTIAN COMMUNITY HEALTH CENTER
Subdivision Name
Beacon Christian Community Health Center
Type
HRSA-Funded Health Center
Site ID
BPS-H80-008294
340B ID
CHC12866-00
Grant Number
H80CS12866
Additional Details
Current Program Status
Active
Registration Date
6/11/2010
Participating Start Date
1/1/2008
Participating Approval Date
10/26/2007
Last Recertification Date
3/12/2025
Contacts
Authorizing Official
Beacon Christian Community Health Center
DAVID H. KIM, EXECUTIVE DIRECTOR
(718) 815-6560
Primary Contact
Beacon Christian Community Health Center
JANET KIM, Chief Medical Officer
(718) 815-6560 Ext: 200
Addresses
Street Address
2079 Forest Avenue
Staten Island, NY 10303-1735
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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11/16/11 - Changed Contact title, phone ext and email information.
11/16/2011
April 2025
April 2025
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