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CHC26576-07 Five Rivers Health Centers (Active)
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Main Details
Name
Five Rivers Health Centers
Subdivision Name
Five Rivers Health Centers Star Pediatrics
Type
HRSA-Funded Health Center
Site ID
BPS-H80-024959
340B ID
CHC26576-07
Grant Number
H80CS26576
Additional Details
Current Program Status
Active
Registration Date
1/11/2019
Participating Start Date
4/1/2019
Participating Approval Date
1/28/2019
Last Recertification Date
2/12/2025
Contacts
Authorizing Official
Five Rivers Health Centers
Gina McFarlane-El, CEO
(937) 281-5940
Primary Contact
Five Rivers Health Centers
John Howard Tomlin, Pharmacy Director
(937) 281-6825
Addresses
Street Address
1659 W 2nd St
Xenia, OH 45385-3613
Billing Address
Five Rivers Health Centers
2261 Philadelphia Drive
200
Dayton, OH 45406-3613
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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