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CHC24111-00 Circle Health Services (Active)
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Main Details
Name
Circle Health Services
Subdivision Name
Circle Health Services
Type
HRSA-Funded Health Center
Site ID
BPS-H80-011584
340B ID
CHC24111-00
Grant Number
H80CS24111
Additional Details
Current Program Status
Active
Registration Date
4/29/2014
Participating Start Date
7/1/2014
Participating Approval Date
5/5/2014
Last Recertification Date
2/10/2025
Contacts
Authorizing Official
Circle Health Services d/b/a The Centers
Christine Gambatese, Chief Financial Officer
(216) 432-7200
Primary Contact
Circle Health Services
Crystal Mink, Director of Pharmacy
(304) 685-0929
Addresses
Street Address
12201 Euclid Ave
Cleveland, OH 44106-4310
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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5/5/14 participating 10/1/2012 thru 3/31/14, not participating 4/1/14 thru 7/1/14 due to failure to recertify, re-instatement request submitted in April 2014
05/05/2014
May 2025
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