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CHC12866-01 BEACON CHRISTIAN COMMUNITY HEALTH CENTER (Active)
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Main Details
Name
BEACON CHRISTIAN COMMUNITY HEALTH CENTER
Subdivision Name
BCCHC - Annex
Type
HRSA-Funded Health Center
Site ID
BPS-H80-015342
340B ID
CHC12866-01
Grant Number
H80CS12866
Additional Details
Current Program Status
Active
Registration Date
4/15/2016
Participating Start Date
7/1/2016
Participating Approval Date
4/18/2016
Last Recertification Date
3/12/2025
Contacts
Authorizing Official
Beacon Christian Community Health Center
DAVID H. KIM, EXECUTIVE DIRECTOR
(718) 815-6560
Primary Contact
Beacon Christian Community Health Center
JANET KIM, Chief Medical Officer
(718) 815-6560 Ext: 200
Addresses
Street Address
2031 Forest Ave
Staten Island, NY 10303-1796
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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June 2025
June 2025
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