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CH05058K NORTHEAST OHIO NEIGHBORHOOD HEALTH SERVICES, INC. (Active)
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Main Details
Name
NORTHEAST OHIO NEIGHBORHOOD HEALTH SERVICES, INC.
Subdivision Name
NEON Dental Mobile Unit
Type
HRSA-Funded Health Center
Site ID
BPS-H80-012742
340B ID
CH05058K
Grant Number
H80CS00191
Additional Details
Current Program Status
Active
Registration Date
4/13/2016
Participating Start Date
7/1/2016
Participating Approval Date
4/14/2016
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
15320 Euclid Avenue
East Cleveland, OH 44112
Billing Address
Northeast Ohio Neighborhood Health Services
4800 Payne Ave
Cleveland, OH 44103
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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