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CHC00064-02 ODA PRIMARY HEALTH CARE CENTER, INC. (Active)
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Main Details
Name
ODA PRIMARY HEALTH CARE CENTER, INC.
Subdivision Name
Park Avenue Primary Health Care Center
Type
HRSA-Funded Health Center
Site ID
BPS-H80-010477
340B ID
CHC00064-02
Grant Number
H80CS00064
Additional Details
Current Program Status
Active
Registration Date
7/1/2013
Participating Start Date
10/1/2013
Participating Approval Date
8/27/2013
Last Recertification Date
2/11/2025
Contacts
Authorizing Official
ODA Primary Health Care Network
Joseph Deutsch, Chief Executive Officer
(718) 260-4600 Ext: 301
Primary Contact
ODA Primary Health Care Network
Lauren Levine, Communications Director
(718) 260-4600 Ext: 305
Addresses
Street Address
517 Park Ave
Brooklyn, NY 11205-1631
Billing Address
ODA Primary Health Care Network
74 Wallabout Street
Brooklyn, NY 11249
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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