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HM44907 Children's Hospital Medical Center of Akron (Active)
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Main Details
Name
Children's Hospital Medical Center of Akron
Subdivision Name
Mansfield HTC Clinic
Type
Comprehensive Hemophilia Treatment Center
340B ID
HM44907
Grant Number
H30MC24047
Additional Details
Current Program Status
Active
Registration Date
10/10/2017
Participating Start Date
1/1/2018
Participating Approval Date
10/18/2017
Last Recertification Date
2/10/2025
Contacts
Authorizing Official
Children's Hospital Medical Center of Akron
Alicia Lamancusa, Vice President Finance
(330) 543-8171
Primary Contact
Akron Children's Hospital HTC Clinic
Nicole Elizabeth Kendel, Assistant Professor
(330) 533-8581
Addresses
Street Address
1029 South Trimble Road
Mansfield, OH 44906
Billing Address
Children's Hospital Medical Center of Akron
One Perkins Square
Akron, OH 44308
Comments
Medicaid Billing
Shipping Addresses
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