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CH02007J HENRY J. AUSTIN HEALTH CENTER, INC. (Active)
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Main Details
Name
HENRY J. AUSTIN HEALTH CENTER, INC.
Subdivision Name
Henry J. Austin Health Center at The Rescue Mission of Trenton
Type
HRSA-Funded Health Center
Site ID
BPS-H80-015598
340B ID
CH02007J
Grant Number
H80CS00531
Additional Details
Current Program Status
Active
Registration Date
7/13/2016
Participating Start Date
10/1/2016
Participating Approval Date
7/27/2016
Last Recertification Date
2/13/2025
Contacts
Authorizing Official
Henry J. Austin Health Center, INC.,
Charles L. Davis II, Chief Executive Officer
(609) 278-5933
Primary Contact
Henry J. Austin Health Center, INC.,
Taylor Kemp, 340B Manager
(609) 278-5971
Addresses
Street Address
98 Carroll St
Trenton, NJ 08609-1008
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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