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CH03406AP PRIMARY HEALTH NETWORK, INC. (Terminated)
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Main Details
Name
PRIMARY HEALTH NETWORK, INC.
Subdivision Name
Ashtabula Community Health Center
Type
HRSA-Funded Health Center
Site ID
BPS-H80-009632
340B ID
CH03406AP
Grant Number
H80CS00663
Additional Details
Current Program Status
Terminated
Registration Date
2/16/2011
Participating Start Date
4/1/2011
Participating Approval Date
2/22/2011
Last Recertification Date
2/26/2018
Termination Date
Termination Reason
4/1/2019
Site closure
Contacts
Authorizing Official
Primary Health Network
Drew C. Pierce, CEO
(724) 342-3002 Ext: 1506
Primary Contact
Primary Health Network
Ankit Patel, 340B Program Coordinator
(724) 342-3002 Ext: 1550
Addresses
Street Address
5266 State Route 45
Rome, OH 44085-9404
Billing Address
PRIMARY HEALTH NETWORK
P.O. BOX 716
SHARON, PA 16146
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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