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CH058470 COLUMBUS NEIGHBORHOOD HEALTH CENTER, INC. (Active)
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Main Details
Name
COLUMBUS NEIGHBORHOOD HEALTH CENTER, INC.
Subdivision Name
CNHC dba PrimaryOne Health
Type
HRSA-Funded Health Center
Site ID
BPS-H80-021012
340B ID
CH058470
Grant Number
H80CS00118
Additional Details
Current Program Status
Active
Registration Date
10/1/1998
Participating Start Date
10/1/1998
Participating Approval Date
6/14/2004
Last Recertification Date
2/19/2025
Contacts
Authorizing Official
PrimaryOne Health
Nichole Gomez Otayco, COO
(217) 273-7718
Primary Contact
PrimaryOne Health
Rebecca Williamson, 340BProgram Manager
(614) 859-1904
Addresses
Street Address
2780 Airport Drive, Suite 100
Columbus, OH 43219-1060
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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3/16/11 ADDED BILL-TO ADD. 6/21/11 - CHANGED PHYSICAL ADDRESS FROM 600 WEST SPRING STREET - REAR 2. CHANGED AUTHORIZING OFFICIAL FROM CARL WALTERS AND CONTACT NAME FROM MARY LOVE.
06/21/2011
3/16/11 ADDED BILL-TO ADD. 6/21/11 - CHANGED PHYSICAL ADDRESS FROM 600 WEST SPRING STREET - REAR 2. CHANGED AUTHORIZING OFFICIAL FROM CARL WALTERS AND CONTACT NAME FROM MARY LOVE.
06/21/2011
May 2025
May 2025
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