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CH02207L ANTHONY L JORDAN HEALTH CORP (Active)
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Main Details
Name
ANTHONY L JORDAN HEALTH CORP
Subdivision Name
Jordan Health at Franklin Educational Campus
Type
HRSA-Funded Health Center
Site ID
BPS-H80-013717
340B ID
CH02207L
Grant Number
H80CS21582
Additional Details
Current Program Status
Active
Registration Date
4/11/2014
Participating Start Date
7/1/2014
Participating Approval Date
5/2/2014
Last Recertification Date
2/13/2025
Contacts
Authorizing Official
Anthony L. Jordan Health Corporation
Jason Dunn, Chief Business Officer
(585) 423-2828
Primary Contact
Jordan Health
Nadirah A. Stephens, 340B Analyst
(585) 423-5886
Addresses
Street Address
950 NORTON ST
ROCHESTER, NY 14621-3732
Billing Address
Anthony L. Jordan Health Corp
82 Holland Street
Rochester, NY 14605-2131
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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