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CH02002AP CARE FOR THE HOMELESS (Terminated)
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Main Details
Name
CARE FOR THE HOMELESS
Subdivision Name
WILLOW FAMILY RESIDENCE
Type
HRSA-Funded Health Center
Site ID
BPS-H80-006388
340B ID
CH02002AP
Grant Number
H80CS00007
Additional Details
Current Program Status
Terminated
Registration Date
1/11/2013
Participating Start Date
1/15/2013
Participating Approval Date
1/15/2013
Last Recertification Date
2/12/2018
Termination Date
Termination Reason
4/1/2019
Business decision by the Covered Entity
Contacts
Authorizing Official
Care for the Homeless
Regina Olasin, Chief Medical Officer
(212) 366-4459 Ext: 219
Primary Contact
care for the homeless
georgina statuto, clinic admin
(646) 379-8289
Addresses
Street Address
190 Willow Avenue
Bronx, NY 10454
Billing Address
Care for the Homeless
30 E 33rd St
FL 5
New York, NY 10016
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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