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CH02062T CORNERSTONE FAMILY HEALTHCARE (Active)
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Main Details
Name
CORNERSTONE FAMILY HEALTHCARE
Subdivision Name
Cornerstone Family Health Care at Port Jervis
Type
HRSA-Funded Health Center
Site ID
BPS-H80-021476
340B ID
CH02062T
Grant Number
H80CS00469
Additional Details
Current Program Status
Active
Registration Date
12/11/2017
Participating Start Date
1/1/2018
Participating Approval Date
12/12/2017
Last Recertification Date
2/13/2025
Contacts
Authorizing Official
Cornerstone Family Healthcare
David Jolly, CEO
(845) 220-3165
Primary Contact
Cornerstone Family Healthcare
Margaret Calero, Director of Risk Management & Corporate Compliance
(845) 220-3188
Addresses
Street Address
140 Hammond St
Port Jervis, NY 12771-2607
Billing Address
Cornerstone Family Healthcare Administration
2570 U.S. Highway 9W
10
Cornwall, NY 12518
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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April 2025
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