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CH02056AF ROCHESTER PRIMARY CARE NETWORK (Terminated)
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Main Details
Name
ROCHESTER PRIMARY CARE NETWORK
Subdivision Name
JOHN MARSHALL HEALTH CENTER
Type
HRSA-Funded Health Center
Site ID
BPS-H80-005604
340B ID
CH02056AF
Grant Number
H80CS00167
Additional Details
Current Program Status
Terminated
Registration Date
8/31/2012
Participating Start Date
10/1/2012
Participating Approval Date
9/10/2012
Last Recertification Date
3/3/2015
Termination Date
Termination Reason
10/1/2015
Site closure
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
180 RIDGEWAY AVE
ROCHESTER, NY 14615-3636
Billing Address
Rochester Primary Care Network, Inc.
259 Monroe Avenue
Level B
Rochester, NY 14607-3632
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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