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CHC30718-03 SIGNATURE HEALTH, INC. (Terminated)
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Main Details
Name
SIGNATURE HEALTH, INC.
Subdivision Name
Signature Health Garfield Heights Health Center
Type
HRSA-Funded Health Center
Site ID
BPS-H80-019405
340B ID
CHC30718-03
Grant Number
H80CS30718
Additional Details
Current Program Status
Terminated
Registration Date
4/3/2017
Participating Start Date
7/1/2017
Participating Approval Date
4/24/2017
Last Recertification Date
Termination Date
Termination Reason
4/1/2018
Site closure
Contacts
Authorizing Official
Signature Health Inc.
Jonathan Albert Lee, CEO
(440) 953-9999 Ext: 705133
Primary Contact
Christina Penko, Lead Pharmacist
(216) 663-6100
Addresses
Street Address
5410 Transportation Blvd.
Garfield Heights, OH 44125-5300
Billing Address
Signature Health, Inc
38882 Mentor Avenue
Willoughby, OH 44094
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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