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CH02011J WHITNEY M. YOUNG, JR., HEALTH CENTER, INC. (Active)
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Main Details
Name
WHITNEY M. YOUNG, JR., HEALTH CENTER, INC.
Subdivision Name
Watervliet Junior-Senior High School
Type
HRSA-Funded Health Center
Site ID
BPS-H80-024758
340B ID
CH02011J
Grant Number
H80CS00433
Additional Details
Current Program Status
Active
Registration Date
1/9/2019
Participating Start Date
4/1/2019
Participating Approval Date
1/28/2019
Last Recertification Date
2/14/2025
Contacts
Authorizing Official
Whitney M. Young, Jr. Health Center, Inc.
David Harold Shippee, President & CEO
(518) 591-4459
Primary Contact
Whitney M Young Jr Health Center
John E Fraher, CFO
(518) 591-4461
Addresses
Street Address
1245 Hillside Dr
Watervliet, NY 12189-2406
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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June 2025
June 2025
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