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CH05092E NEIGHBORHOOD HEALTH CARE INC (Terminated)
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Main Details
Name
NEIGHBORHOOD HEALTH CARE INC
Subdivision Name
Centers West Office Health Center
Type
HRSA-Funded Health Center
Site ID
BPS-H80-013675
340B ID
CH05092E
Grant Number
H80CS00665
Additional Details
Current Program Status
Terminated
Registration Date
7/8/2014
Participating Start Date
10/1/2014
Participating Approval Date
7/23/2014
Last Recertification Date
2/22/2018
Termination Date
Termination Reason
4/1/2019
Business decision by the Covered Entity
Contacts
Authorizing Official
Neighborhood Health Care, Inc.
JEAN POLSTER, PRESIDENT, CEO
(216) 281-0872 Ext: 1261
Primary Contact
Neighborhood Health Care, Inc.
ANGELA CAMPITELLI, 340B Program Manager
(216) 281-0872 Ext: 213
Addresses
Street Address
3929 ROCKY RIVER DR
CLEVELAND, OH 44111-4153
Billing Address
Neighborhood Family Practice
4115 Bridge Ave
Suite 300
Cleveland, OH 44113
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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June 2025
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