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FQHCLA365 OSBORN FAMILY HEALTH CENTER, INC., THE (Terminated)
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Main Details
Name
OSBORN FAMILY HEALTH CENTER, INC., THE
Subdivision Name
Osborn Family Health Center
Type
Health Center Program Look-Alike
Site ID
BPS-LAL-021448
340B ID
FQHCLA365
Grant Number
LALCS31541
Additional Details
Current Program Status
Terminated
Registration Date
3/7/2018
Participating Start Date
4/1/2018
Participating Approval Date
3/7/2018
Last Recertification Date
1/28/2020
Termination Date
Termination Reason
7/1/2020
Loss of qualifying grant/support
Contacts
Authorizing Official
The Osborn Family Health Center, Inc
shawne cuilla, CEO
(856) 757-3706
Primary Contact
Osborn Family Health Center
Sabrina Cannady, Chief Operating Officer
(856) 365-7726
Addresses
Street Address
1601 Haddon Avenue
Camden, NJ 08103-3109
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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April 2025
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