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CH050580 NORTHEAST OHIO NEIGHBORHOOD HEALTH SERVICES, INC. (Active)
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Main Details
Name
NORTHEAST OHIO NEIGHBORHOOD HEALTH SERVICES, INC.
Subdivision Name
NORTHEAST OHIO NEIGHBORHOOD HEALTH SERVICES
Type
HRSA-Funded Health Center
Site ID
BPS-H80-001866
340B ID
CH050580
Grant Number
H80CS00191
Additional Details
Current Program Status
Active
Registration Date
12/1/1992
Participating Start Date
12/1/1992
Participating Approval Date
12/1/1992
Last Recertification Date
2/12/2025
Contacts
Authorizing Official
Northeast Ohio Neighborhood Health Services, Inc.
Willie F. Austin, President/CEO
(216) 231-7700 Ext: 1112
Primary Contact
NEON
Anita Watson, Medical Director
(216) 231-7700 Ext: 1004
Addresses
Street Address
8300 Hough Ave
Cleveland, OH 44103-4247
Billing Address
Northeast Ohio Neighborhood Health Services, Inc.
4800 Payne Avenue
Cleveland, OH 44103
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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3/7/06 - ADDR CH (WAS 12800 SHAKER BLVD., SHAKER HEIGHTS, OH 44120), MODIF ENT NAME (ADDED HOUGH HEALTH CENTER)
03/07/2006
April 2025
April 2025
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