Covered Entity Details

FP18431 MFHS Hamlin Center (Active)

Main Details

Name

MFHS Hamlin Center

Subdivision Name

Type

Family Planning (Title X only)

340B ID

FP18431

Grant Number

FPHPA006505

Additional Details

Current Program Status

Active

Registration Date

1/1/1998

Participating Start Date

1/1/1998

Participating Approval Date

7/28/2005

Last Recertification Date

5/14/2024

Contacts

Authorizing Official

Maternal and Family Health Services
Maria Montoro Edwards, President & CEO
(570) 823-7000

Primary Contact

Maternal and Family Health Services
Shannon Hayward, Chief Operations Officer
(570) 823-7000

Addresses

Street Address

543 Easton Turnpike
Lake Ariel, PA 18436

Billing Address

MATERNAL & FAMILY HEALTH SERVICES, INC.
15 PUBLIC SQUARE
SUITE 600
WILKES BARRE, PA 18701-1700

Comment	Last Updated On
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8/3/11 PHYS ADDR UPDATED (WAS 273 GRANDVIEW AVENUE, SUITE 4 HONESDALE) - 3/18/10 UPDATED BILL TO (WAS MFHS HONESDALE FP CENTER); 2/1/10 ADDED MEDICAID#; 2/1/06 ADDED BILL TO; 7/28/05 UPDATED ADDR (WAS 321 GRANDVIEW AVENUE, UNIT 4); 6/14/04 UPDATED ADDR; 6/14/04 DELETED MEDICAID#;	08/03/2011
3/18/10 UPDATED BILL TO (WAS MFHS HONESDALE FP CENTER); 2/1/10 ADDED MEDICAID#; 2/1/06 ADDED BILL TO; 7/28/05 UPDATED ADDR (WAS 321 GRANDVIEW AVENUE, UNIT 4); 6/14/04 UPDATED ADDR; 6/14/04 DELETED MEDICAID#;	03/18/2010

340B Drug Pricing Program Database