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FQHCLA334AC NEW YORK CITY HEALTH AND HOSPITALS CORPORATION (Terminated)
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Main Details
Name
NEW YORK CITY HEALTH AND HOSPITALS CORPORATION
Subdivision Name
Melrose Houses
Type
Health Center Program Look-Alike
Site ID
BPS-LAL-014614
340B ID
FQHCLA334AC
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
2/21/2018
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
348 E 156th St
Bronx, NY 10451-4804
Billing Address
Segundo Ruiz Belvis Diagnostic & Treatment Center
545 E. 142nd Street
Bronx, NY 10454-8001
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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June 2025
June 2025
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