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CH02700E Central Jersey Medical Center Inc. (Terminated)
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Main Details
Name
Central Jersey Medical Center Inc.
Subdivision Name
Quitman Street Community School
Type
HRSA-Funded Health Center
Site ID
BPS-H80-002070
340B ID
CH02700E
Grant Number
H80CS00253
Additional Details
Current Program Status
Terminated
Registration Date
10/1/2013
Participating Start Date
1/1/2014
Participating Approval Date
11/4/2013
Last Recertification Date
2/5/2024
Termination Date
Termination Reason
4/1/2025
Failure to recertify
Contacts
Authorizing Official
Jewish Renaissance Medical Center
Thomas Boggiano, Chief Financial Officer
(732) 376-6659
Primary Contact
Central Jersey Medical Center
Simi Koyejo, Director Of Finance
(732) 376-6636
Addresses
Street Address
21 Quitman St
Newark, NJ 07103-4105
Billing Address
Central Jersey Medical Center
275 Hobart ST.
Perth Amboy, NJ 08861
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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