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CH02056T Rochester Primary Care Network (Terminated)
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Main Details
Name
Rochester Primary Care Network
Subdivision Name
Unity Family Medicine at St. Bernard's
Type
HRSA-Funded Health Center
Site ID
BPS-H80-007630
340B ID
CH02056T
Grant Number
H80CS00167
Additional Details
Current Program Status
Terminated
Registration Date
2/22/2012
Participating Start Date
3/5/2012
Participating Approval Date
3/5/2012
Last Recertification Date
2/7/2019
Termination Date
Termination Reason
4/1/2020
Business decision by the Covered Entity
Contacts
Authorizing Official
Rochester Primary Care Network
Michael J Leary, President/CEO
(585) 325-2280 Ext: 7302
Primary Contact
Mosaic Health, Inc.
Vanessa I. Simmons, Pharmacy Coordinator
(585) 325-2280 Ext: 7308
Addresses
Street Address
2260 Lake Avenue STE 1000
Rochester, NY 14612
Billing Address
Rochester Primary Care Network, Inc.
1 South Washington Street
Suite 300
Rochester, NY 14614-3632
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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3/5/12 IMMEDIATE START DATE DUE TO PUBLIC HEALTH EMERGENCY
03/05/2012
May 2025
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