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CH02449K NORTH HUDSON COMMUNITY ACTION CORPORATION (Active)
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Main Details
Name
NORTH HUDSON COMMUNITY ACTION CORPORATION
Subdivision Name
NHCAC Health Center @ Passaic 220 Passaic Street
Type
HRSA-Funded Health Center
Site ID
BPS-H80-021287
340B ID
CH02449K
Grant Number
H80CS00521
Additional Details
Current Program Status
Active
Registration Date
4/9/2013
Participating Start Date
7/1/2013
Participating Approval Date
5/21/2013
Last Recertification Date
2/10/2025
Contacts
Authorizing Official
North Hudson Community Action Corporation
Rebecca Acosta, Executive Vice President
(201) 210-0100 Ext: 10102
Primary Contact
FQHC
Amanda Martinez, Executive Assistant to EVP; 340B Manager
(201) 494-3873
Addresses
Street Address
220 Passaic Street
Passaic, NJ 07055
Billing Address
North Hudson Community Action Corporation
5301 Broadway
West New York, NJ 07093
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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