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FQHCLA342 TRILLIUM HEALTH, INC. (Active)
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Main Details
Name
TRILLIUM HEALTH, INC.
Subdivision Name
Trillium Health at Monroe Square
Type
Health Center Program Look-Alike
Site ID
BPS-LAL-018388
340B ID
FQHCLA342
Grant Number
LALCS00182
Additional Details
Current Program Status
Active
Registration Date
10/10/2016
Participating Start Date
1/1/2017
Participating Approval Date
10/18/2016
Last Recertification Date
2/10/2025
Contacts
Authorizing Official
Trillium Health, Inc.
Gregory Clyde Ewing, S.V.P. Compliance, Privacy, Technology & Regulatory Affairs/CCO
(585) 545-7218
Primary Contact
Trillium Health, Inc.
Christopher Lee Woodring, VP, Chief Pharmacy Officer
(585) 210-4193
Addresses
Street Address
259 Monroe Avenue Suite 100
Rochester, NY 14607-3632
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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