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CH02848H DAMIAN FAMILY CARE CENTERS, INC. (Terminated)
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Main Details
Name
DAMIAN FAMILY CARE CENTERS, INC.
Subdivision Name
35th Street Health Center
Type
HRSA-Funded Health Center
Site ID
BPS-H80-017511
340B ID
CH02848H
Grant Number
H80CS01765
Additional Details
Current Program Status
Terminated
Registration Date
4/1/2016
Participating Start Date
7/1/2016
Participating Approval Date
4/8/2016
Last Recertification Date
2/16/2017
Termination Date
Termination Reason
4/1/2018
Site closure
Contacts
Authorizing Official
Damian Family Care Centers, Inc.
Peter Grisafi, CEO
(718) 657-1100 Ext: 1225
Primary Contact
Damian Family Care Centers, Inc.
Michael Withus, Chief Compliance Officer
(718) 657-1100 Ext: 4124
Addresses
Street Address
500 8TH AVE
NEW YORK, NY 10018-6504
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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