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CH03075B EAST LIBERTY FAMILY HEALTH CARE CENTER (Active)
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Main Details
Name
EAST LIBERTY FAMILY HEALTH CARE CENTER
Subdivision Name
Hosanna House - Dental Clinic
Type
HRSA-Funded Health Center
Site ID
BPS-H80-008709
340B ID
CH03075B
Grant Number
H80CS00664
Additional Details
Current Program Status
Active
Registration Date
7/6/2016
Participating Start Date
10/1/2016
Participating Approval Date
7/28/2016
Last Recertification Date
2/12/2025
Contacts
Authorizing Official
East Liberty Family HealthCare Center
arsenial teroy runion, Chief Executive Officer
(913) 201-7564
Primary Contact
East Liberty Family Health Care Center
Lauren Mongelluzzo, Director of Health Informatics
(412) 345-7857
Addresses
Street Address
807 Wallace Street
Wilkinsburg, PA 15221-2312
Billing Address
East Liberty Family Health Care Center-LL
7157 Mary Peck Bond Place
Attention Finance Dept
Pittsburgh, PA 15206
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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