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CHC00064-05 ODA PRIMARY HEALTH CARE CENTER, INC. (Active)
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Main Details
Name
ODA PRIMARY HEALTH CARE CENTER, INC.
Subdivision Name
ODA Quality Health Center
Type
HRSA-Funded Health Center
Site ID
BPS-H80-013634
340B ID
CHC00064-05
Grant Number
H80CS00064
Additional Details
Current Program Status
Active
Registration Date
4/4/2017
Participating Start Date
7/1/2017
Participating Approval Date
5/15/2017
Last Recertification Date
2/11/2025
Contacts
Authorizing Official
ODA Primary Health Care Network
Joseph Deutsch, Chief Executive Officer
(718) 260-4600 Ext: 301
Primary Contact
ODA Primary Health Care Network
Lauren Levine, Communications Director
(718) 260-4600 Ext: 305
Addresses
Street Address
432 BEDFORD AVE
BROOKLYN, NY 11249-6588
Billing Address
ODA Primary Health Care Network
74 Wallabout Street
Brooklyn, NY 11249
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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