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CHC11332-03 COMMUNITY HEALTH CENTERS OF GREATER DAYTON (Terminated)
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Main Details
Name
COMMUNITY HEALTH CENTERS OF GREATER DAYTON
Subdivision Name
VICTOR CASSANO HEALTH CENTER
Type
HRSA-Funded Health Center
Site ID
BPS-H80-010441
340B ID
CHC11332-03
Grant Number
H80CS12882
Additional Details
Current Program Status
Terminated
Registration Date
5/26/2011
Participating Start Date
7/1/2011
Participating Approval Date
5/31/2011
Last Recertification Date
2/12/2021
Termination Date
Termination Reason
4/1/2022
Site closure
Contacts
Authorizing Official
Community Health Centers of Greater Dayton
GREGORY HOPKINS, EXECUTIVE DIRECTOR
(937) 586-9733 Ext: 1023
Primary Contact
Charles Drew Health Center
Dori Moss, Practice Manager
(937) 461-4336 Ext: 1011
Addresses
Street Address
165 S. EDWIN C. MOSES BLVD
DAYTON, OH 45402
Billing Address
COMMUNITY HEALTH CENTERS OF GREATER DAYTON
1323 W. 3RD STREET
DAYTON, OH 45402
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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7/8/11 - ADDED BILLING ADDRESS.
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May 2025
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