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CH021887AB Sunset Park Health Council, Inc. (Active)
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Main Details
Name
Sunset Park Health Council, Inc.
Subdivision Name
Premium Health Center Pediatrics
Type
HRSA-Funded Health Center
Site ID
BPS-H80-018467
340B ID
CH021887AB
Grant Number
H80CS07914
Additional Details
Current Program Status
Active
Registration Date
10/12/2018
Participating Start Date
1/1/2019
Participating Approval Date
10/17/2018
Last Recertification Date
3/6/2025
Contacts
Authorizing Official
Sunset Park Health Council, Inc.
Larry K. McReynolds, Executive Director
(718) 630-7216
Primary Contact
Sunset Park Health Council, Inc.
Astrid P. Gonzalez, VP - Finance
(718) 630-7047
Addresses
Street Address
5506 15th Avenue
Brooklyn, NY 11219-4311
Billing Address
Premium Health Center
620 Foster Avenue
Brooklyn, NY 11230-1305
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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