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CHC25683-20 CINCINNATI, CITY OF (Terminated)
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Main Details
Name
CINCINNATI, CITY OF
Subdivision Name
Walnut Street Health Center
Type
HRSA-Funded Health Center
Site ID
BPS-H80-017233
340B ID
CHC25683-20
Grant Number
H80CS25683
Additional Details
Current Program Status
Terminated
Registration Date
4/7/2016
Participating Start Date
7/1/2016
Participating Approval Date
4/13/2016
Last Recertification Date
2/18/2020
Termination Date
Termination Reason
4/1/2021
Site closure
Contacts
Authorizing Official
City of Cincinnati HEALTH DEPARTMENT
Domonic Hopson, ceo ccpc
(513) 357-7361
Primary Contact
city of cincinnati health department
grant mussman, medical director
(513) 357-7215
Addresses
Street Address
1005 Walnut Street
Cincinnati, OH 45202-1109
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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April 2025
April 2025
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