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CH02207J ANTHONY L JORDAN HEALTH CORP (Active)
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Main Details
Name
ANTHONY L JORDAN HEALTH CORP
Subdivision Name
Jordan Health at CCIA
Type
HRSA-Funded Health Center
Site ID
BPS-H80-012226
340B ID
CH02207J
Grant Number
H80CS21582
Additional Details
Current Program Status
Active
Registration Date
1/31/2013
Participating Start Date
2/6/2013
Participating Approval Date
2/6/2013
Last Recertification Date
2/14/2025
Contacts
Authorizing Official
Anthony L. Jordan Health Corporation
Jason Dunn, Chief Business Officer
(585) 423-2828
Primary Contact
Jordan Health
Nadirah A. Stephens, 340B Analyst
(585) 423-5886
Addresses
Street Address
120 N Main St
Canandaigua, NY 14424-1258
Billing Address
Anthony L. Jordan Health Corp.
82 Holland Street
Rochester, NY 14605
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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2/6/13 Immediate start date due to public health emergency in NY
02/06/2013
May 2025
May 2025
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