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CHC26576-04 FIVE RIVERS HEALTH CENTERS (Active)
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Main Details
Name
FIVE RIVERS HEALTH CENTERS
Subdivision Name
Five Rivers Samaritan Homeless Clinic
Type
HRSA-Funded Health Center
Site ID
BPS-H80-015144
340B ID
CHC26576-04
Grant Number
H80CS26576
Additional Details
Current Program Status
Active
Registration Date
10/2/2015
Participating Start Date
1/1/2016
Participating Approval Date
10/23/2015
Last Recertification Date
2/12/2025
Contacts
Authorizing Official
Five Rivers Health Centers
Gina McFarlane-El, CEO
(937) 281-5940
Primary Contact
Five Rivers Health Centers
John Howard Tomlin, Pharmacy Director
(937) 281-6825
Addresses
Street Address
921 S EDWIN C MOSES BLVD
DAYTON, OH 45417-3464
Billing Address
Five Rivers Health Centers
2261 Philadelphia Dr.
Dayton, OH 45406
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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May 2025
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