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CH05096G COMMUNITY & RURAL HEALTH SERVICES (Active)
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Main Details
Name
COMMUNITY & RURAL HEALTH SERVICES
Subdivision Name
Community Health Services - Fostoria
Type
HRSA-Funded Health Center
Site ID
BPS-H80-011300
340B ID
CH05096G
Grant Number
H80CS00661
Additional Details
Current Program Status
Active
Registration Date
4/2/2013
Participating Start Date
7/1/2013
Participating Approval Date
5/22/2013
Last Recertification Date
2/10/2025
Contacts
Authorizing Official
Community and Rural Health Services
JOSEPH LISZAK, CEO
(419) 334-8943 Ext: 225
Primary Contact
Community and Rural Health Services
Komal Masood, Medical Director
(419) 334-8943
Addresses
Street Address
502 Van Buren St
Fostoria, OH 44830-1533
Billing Address
Community Health Services
2221 Hayes Avenue
Fremont, OH 43420
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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