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FQHCLA306 APICHA Community Health Center (Terminated)
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Main Details
Name
APICHA Community Health Center
Subdivision Name
Type
Health Center Program Look-Alike
Site ID
BPS-LAL-012114
340B ID
FQHCLA306
Grant Number
LALCS00137
Additional Details
Current Program Status
Terminated
Registration Date
10/1/2012
Participating Start Date
10/27/2012
Participating Approval Date
11/7/2012
Last Recertification Date
2/11/2015
Termination Date
Termination Reason
1/1/2016
Change of covered entity type
Contacts
Authorizing Official
Apicha Community Health Center
Yumiko Sano, COO
(646) 744-0980
Primary Contact
ROBERT MURAYAMA, CHIEF MEDICAL OFFICER
(212) 334-7940
Addresses
Street Address
400 Broadway
New York, NY 10013
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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11/7/2012 – Participation start date set to 10/27/2012 due to post-Sandy public health emergency determination for the State of New York
11/20/2012
May 2025
May 2025
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