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FQHCLA334AH NEW YORK CITY HEALTH AND HOSPITALS CORPORATION (Terminated)
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Main Details
Name
NEW YORK CITY HEALTH AND HOSPITALS CORPORATION
Subdivision Name
Gouverneur Healthcare Services
Type
Health Center Program Look-Alike
Site ID
BPS-LAL-014601
340B ID
FQHCLA334AH
Grant Number
LALCS00169
Additional Details
Current Program Status
Terminated
Registration Date
4/15/2015
Participating Start Date
7/1/2015
Participating Approval Date
4/22/2015
Last Recertification Date
2/22/2018
Termination Date
Termination Reason
4/1/2019
Change of covered entity type (non-hospital)
Contacts
Authorizing Official
New York City Health and Hospitals
Paul Albertson, Vice President
(212) 748-2256
Primary Contact
New York City Health + Hospitals
Danielle Sestito, Senior Director, 340B Operations
(212) 442-3892
Addresses
Street Address
227 Madison St
New York, NY 10002-7537
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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