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CH02018H OAK ORCHARD COMMUNITY HEALTH CENTER, INC. (Terminated)
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Main Details
Name
OAK ORCHARD COMMUNITY HEALTH CENTER, INC.
Subdivision Name
Oak Orchard Community Health Center - Hornell Dental
Type
HRSA-Funded Health Center
Site ID
BPS-H80-017824
340B ID
CH02018H
Grant Number
H80CS00170
Additional Details
Current Program Status
Terminated
Registration Date
10/13/2016
Participating Start Date
1/1/2017
Participating Approval Date
10/24/2016
Last Recertification Date
1/31/2019
Termination Date
Termination Reason
4/1/2019
Site closure
Contacts
Authorizing Official
Oak Orchard Community Health Center, Inc.
Carol A. White, Cfo
(585) 637-3905 Ext: 224
Primary Contact
Oak Orchard Community Health Center, Inc.
Mary Ann Pettibon, CEO
(585) 637-3905 Ext: 214
Addresses
Street Address
36 Genesee Street
Hornell, NY 14843
Billing Address
Oak Orchard Community Health Center, Inc.
300 West Ave.
Brockport, NY 14420
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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