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CH02426L BronxCare Health Integrated Services System, Inc. (Active)
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Main Details
Name
BronxCare Health Integrated Services System, Inc.
Subdivision Name
BronxCare Ogden Family Medical and Dental Center
Type
HRSA-Funded Health Center
Site ID
BPS-H80-010947
340B ID
CH02426L
Grant Number
H80CS00625
Additional Details
Current Program Status
Active
Registration Date
4/2/2013
Participating Start Date
4/12/2013
Participating Approval Date
4/12/2013
Last Recertification Date
2/12/2025
Contacts
Authorizing Official
BronxCare Health Integrated Health Care Solutions
Crystal D Jordan, Executive Director
(718) 466-6072
Primary Contact
BronxCare Health System
Kyoung-Sil Kang, Director of Pharmacy
(718) 518-5021
Addresses
Street Address
1067 Ogden Avenue
Bronx, NY 10452
Billing Address
BronxCare Ogden Family Medical and Dental Center
1265 Franklin Avenue
Bronx, NY 10456
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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June 2025
June 2025
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