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CH05157BG CINCINNATI HEALTH NETWORK INC, THE (Active)
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Main Details
Name
CINCINNATI HEALTH NETWORK INC, THE
Subdivision Name
CARACOLE CLINIC
Type
HRSA-Funded Health Center
Site ID
BPS-H80-021696
340B ID
CH05157BG
Grant Number
H80CS00189
Additional Details
Current Program Status
Active
Registration Date
4/4/2018
Participating Start Date
7/1/2018
Participating Approval Date
4/5/2018
Last Recertification Date
2/11/2025
Contacts
Authorizing Official
Cincinnati Health Network
Brian VanderHorst, Chief Executive Officer
(513) 961-0600 Ext: 309
Primary Contact
Cincinnati Health Network, Inc.
Austin Maddox, CFO
(513) 961-0600 Ext: 303
Addresses
Street Address
4138 Hamilton Ave
Cincinnati, OH 45223-2293
Billing Address
Cincinnati Health Network
2825 Burnet Ave Ste 232
Cincinnati, OH 45219-2426
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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