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CH02151CJ Sun River Health, Inc. (Active)
Main Details
Name
Sun River Health, Inc.
Subdivision Name
Sun River Health Bedford Avenue Clinic
Type
HRSA-Funded Health Center
Site ID
BPS-H80-027227
340B ID
CH02151CJ
Grant Number
H80CS00313
Contacts
Authorizing Official
Sun River Health, Inc.
Allison Dubois, COO
(914) 734-8600 Ext: 78503
Primary Contact
Sun River Health, Inc.
Tania Lyons, 340B Manager
(845) 745-8958
Additional Details
Current Program Status
Active
Registration Date
1/7/2019
Participating Start Date
4/1/2019
Participating Approval Date
1/9/2019
Last Recertification Date
2/5/2024
Addresses
Street Address
1669 Bedford Ave
Brooklyn, NY 11225-2009
Billing Address
Hudson River HealthCare, Inc.
1037 Main Street
Peekskill, NY 10566-2913
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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