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CHC11332-04 COMMUNITY HEALTH CENTERS OF GREATER DAYTON (Terminated)
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Main Details
Name
COMMUNITY HEALTH CENTERS OF GREATER DAYTON
Subdivision Name
Community Health Centers of Greater Dayton - Southview Health Center
Type
HRSA-Funded Health Center
Site ID
BPS-H80-012328
340B ID
CHC11332-04
Grant Number
H80CS12882
Additional Details
Current Program Status
Terminated
Registration Date
4/5/2013
Participating Start Date
7/1/2013
Participating Approval Date
5/22/2013
Last Recertification Date
2/23/2018
Termination Date
Termination Reason
1/1/2019
Site closure
Contacts
Authorizing Official
Community Health Centers of Greater Dayton
GREGORY HOPKINS, EXECUTIVE DIRECTOR
(937) 586-9733 Ext: 1023
Primary Contact
Patterson Park Health Center
Bethany Griffith, Practice Manager
(937) 258-6330 Ext: 6000
Addresses
Street Address
25 Thorpe
Dayton, OH 45420-1823
Billing Address
Community Health Centers of Greater Dayton
1323 W 3rd St
Dayton, OH 45402-6714
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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