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CH05058E NORTHEAST OHIO NEIGHBORHOOD HEALTH SERVICES, INC. (Active)
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Main Details
Name
NORTHEAST OHIO NEIGHBORHOOD HEALTH SERVICES, INC.
Subdivision Name
COLLINWOOD HEALTH CENTER
Type
HRSA-Funded Health Center
Site ID
BPS-H80-000739
340B ID
CH05058E
Grant Number
H80CS00191
Additional Details
Current Program Status
Active
Registration Date
12/1/1992
Participating Start Date
12/1/1992
Participating Approval Date
1/21/2010
Last Recertification Date
2/12/2025
Contacts
Authorizing Official
Northeast Ohio Neighborhood Health Services, Inc.
Willie F. Austin, President/CEO
(216) 231-7700 Ext: 1112
Primary Contact
NEON
Anita Watson, Medical Director
(216) 231-7700 Ext: 1004
Addresses
Street Address
15322 Saint Clair Ave
Cleveland, OH 44110-3043
Billing Address
Northeast Ohio Neighborhood Health Services INC
4800 Payne Avenue
Cleveland, OH 44103
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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12/21/05 UPDATED ENTITY NAME (WAS HOUGH NORWOOD FMLY HLTH CTR IV)
01/21/2010
April 2025
April 2025
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