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CH02130A PATERSON COMMUNITY HEALTH CENTER INC. (Active)
Main Details
Name
PATERSON COMMUNITY HEALTH CENTER INC.
Subdivision Name
BROADWAY CLINIC
Type
HRSA-Funded Health Center
Site ID
BPS-H80-000158
340B ID
CH02130A
Grant Number
H80CS00163
Contacts
Authorizing Official
Paterson Community Health Center, Inc.
MARY E. GARNER, CEO
(973) 790-6594 Ext: 323
Primary Contact
Paterson Community Health Center, Inc.
Debora L Walcott, CFO
(973) 790-6594 Ext: 320
Additional Details
Current Program Status
Active
Registration Date
1/14/2014
Participating Start Date
4/1/2014
Participating Approval Date
2/28/2014
Last Recertification Date
2/5/2024
Addresses
Street Address
227 BROADWAY
PATERSON, NJ 07501-2002
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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May 2024
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