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CH02360T URBAN HEALTH PLAN, INC. (Terminated)
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Main Details
Name
URBAN HEALTH PLAN, INC.
Subdivision Name
Urban Health Plan at Kips Bay Boys and Girls Club Dental Clinic
Type
HRSA-Funded Health Center
Site ID
BPS-H80-011317
340B ID
CH02360T
Grant Number
H80CS00368
Additional Details
Current Program Status
Terminated
Registration Date
7/12/2015
Participating Start Date
10/1/2015
Participating Approval Date
7/20/2015
Last Recertification Date
2/20/2023
Termination Date
Termination Reason
10/1/2023
Site closure
Contacts
Authorizing Official
Urban Health Plan, Inc.
Paloma Hernandez, President and CEO
(718) 589-2440 Ext: 4219
Primary Contact
Urban Health Plan, Inc.
MIKE SIKAND, 340B Admnistrator
(347) 267-4420
Addresses
Street Address
1930 Randall Ave
Bronx, NY 10473-2608
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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