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CH02007L HENRY J. AUSTIN HEALTH CENTER, INC. (Terminated)
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Main Details
Name
HENRY J. AUSTIN HEALTH CENTER, INC.
Subdivision Name
Henry J. Austin Health Center at Family Guidance Center Corporation
Type
HRSA-Funded Health Center
Site ID
BPS-H80-015587
340B ID
CH02007L
Grant Number
H80CS00531
Additional Details
Current Program Status
Terminated
Registration Date
7/13/2016
Participating Start Date
10/1/2016
Participating Approval Date
7/27/2016
Last Recertification Date
2/13/2017
Termination Date
Termination Reason
4/1/2018
Site closure
Contacts
Authorizing Official
Henry J. Austin Health Center
Kemi Alli, Chief Executive Officer
(609) 278-5909
Primary Contact
Henry J. Austin Health Center
Caitlin McCarthy, Director of Pharmacy Services
(609) 270-6017
Addresses
Street Address
2300 HAMILTON AVE
HAMILTON, NJ 08619-3051
Billing Address
HENRY J. AUSTIN HEALTH CENTER, INC.
321 N. Warren St.
Trenton, NJ 08618-4741
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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