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CHC24111-04 CIRCLE HEALTH SERVICES (Active)
Main Details
Name
CIRCLE HEALTH SERVICES
Subdivision Name
Health and Wellness Gordon Square
Type
HRSA-Funded Health Center
Site ID
BPS-H80-022105
340B ID
CHC24111-04
Grant Number
H80CS24111
Contacts
Authorizing Official
Circle Health Services
Daniel Frech, General Counsel
(216) 325-9583
Primary Contact
Circle Health Services
Crystal Mink, Director of Pharmacy
(304) 685-0929
Additional Details
Current Program Status
Active
Registration Date
8/2/2018
Participating Start Date
10/1/2018
Participating Approval Date
8/24/2018
Last Recertification Date
1/29/2024
Addresses
Street Address
5209 Detroit Avenue
Cleveland, OH 44102-2224
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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