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CH05182D CARE ALLIANCE (Active)
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Main Details
Name
CARE ALLIANCE
Subdivision Name
Mobile Clinic
Type
HRSA-Funded Health Center
Site ID
BPS-H80-014530
340B ID
CH05182D
Grant Number
H80CS00029
Additional Details
Current Program Status
Active
Registration Date
4/10/2015
Participating Start Date
7/1/2015
Participating Approval Date
4/15/2015
Last Recertification Date
2/10/2025
Contacts
Authorizing Official
Care Alliance Health Center
Derrick Howell, Chief Financial Officer
(216) 644-6368
Primary Contact
Care Alliance
Lori Bush, Director of Pharmacy
(216) 535-9100
Addresses
Street Address
1530 Saint Clair Ave NE
Cleveland, OH 44114-2004
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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