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CHC43215-00 LUTHERAN SOCIAL SERVICES OF CENTRAL OHIO (Active)
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Main Details
Name
LUTHERAN SOCIAL SERVICES OF CENTRAL OHIO
Subdivision Name
Faith Mission
Type
HRSA-Funded Health Center
Site ID
BPS-H80-019122
340B ID
CHC43215-00
Grant Number
H80CS30717
Additional Details
Current Program Status
Active
Registration Date
4/10/2017
Participating Start Date
7/1/2017
Participating Approval Date
4/17/2017
Last Recertification Date
2/10/2025
Contacts
Authorizing Official
Lutheran Social Services of Central Ohio
Alyssa Huddleston, Medical Director
(614) 224-6617 Ext: 2210
Primary Contact
LSS Health Center at Faith Mission
Audrey Virginia Knaff, Health Center Director
(614) 224-6617 Ext: 2136
Addresses
Street Address
245 N GRANT AVE
COLUMBUS, OH 43215-2641
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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