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CH02207E ANTHONY L JORDAN HEALTH CORP (Active)
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Main Details
Name
ANTHONY L JORDAN HEALTH CORP
Subdivision Name
BROWN SQUARE HEALTH CENTER
Type
HRSA-Funded Health Center
Site ID
BPS-H80-011030
340B ID
CH02207E
Grant Number
H80CS21582
Additional Details
Current Program Status
Active
Registration Date
8/16/2011
Participating Start Date
10/1/2011
Participating Approval Date
9/30/2011
Last Recertification Date
2/13/2025
Contacts
Authorizing Official
Anthony L. Jordan Health Corporation
Jason Dunn, Chief Business Officer
(585) 423-2828
Primary Contact
Jordan Health
Nadirah A. Stephens, 340B Analyst
(585) 423-5886
Addresses
Street Address
322 Lake Ave
Rochester, NY 14608-1017
Billing Address
Anthony L. Jordan Health Center
82 Holland Street
Rochester, NY 14605-2131
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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