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CH01072N EAST BOSTON NEIGHBORHOOD HEALTH CENTER CORPORATION (Terminated)
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Main Details
Name
EAST BOSTON NEIGHBORHOOD HEALTH CENTER CORPORATION
Subdivision Name
EAST BOSTON HIGH SCHOOL HLTH CTR
Type
HRSA-Funded Health Center
Site ID
BPS-H80-001007
340B ID
CH01072N
Grant Number
H80CS00058
Additional Details
Current Program Status
Terminated
Registration Date
4/11/2016
Participating Start Date
7/1/2016
Participating Approval Date
4/15/2016
Last Recertification Date
2/27/2018
Termination Date
Termination Reason
10/1/2018
Business decision by the Covered Entity
Contacts
Authorizing Official
East Boston Neighborhood Health Center
Manuel Lopes, CEO
(617) 568-4570
Primary Contact
East Boston Neighborhood Health Center
Ernani DeAraujo, Vice President & General Counsel
(617) 568-4567
Addresses
Street Address
86 White St
Boston, MA 02128-1302
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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