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CHC12855-01 MONMOUTH FAMILY HEALTH CENTER (Active)
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Main Details
Name
MONMOUTH FAMILY HEALTH CENTER
Subdivision Name
MFHC Dental Program
Type
HRSA-Funded Health Center
Site ID
BPS-H80-012145
340B ID
CHC12855-01
Grant Number
H80CS12855
Additional Details
Current Program Status
Active
Registration Date
4/19/2012
Participating Start Date
7/1/2012
Participating Approval Date
6/19/2012
Last Recertification Date
2/11/2025
Contacts
Authorizing Official
Monmouth Family Health Center
Paul McCloud, Chief Executive Officer
(732) 963-0159
Primary Contact
Monmouth Family Health Center
Aida M Lombardi, Assistant CFO
(732) 475-3805
Addresses
Street Address
335 Broadway
Long Branch, NJ 07740-6901
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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5/24/12 - Reviewed registration and forwarded to IS.
05/24/2012
April 2025
April 2025
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