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CH010700 BROCKTON NEIGHBORHOOD HEALTH CENTER, INC. (Active)
Main Details
Name
BROCKTON NEIGHBORHOOD HEALTH CENTER, INC.
Subdivision Name
BROCKTON NEIGHBORHOOD HEALTH CENTER, INC.
Type
HRSA-Funded Health Center
Site ID
BPS-H80-001930
340B ID
CH010700
Grant Number
H80CS00560
Contacts
Authorizing Official
Brockton Neighborhood Health Center
SUSAN G. JOSS, CEO
(508) 894-3203
Primary Contact
Brockton Neighborhoopd Health Center, Inc.
Melvin E. Benson, Chief Financial Officer
(508) 894-3642
Additional Details
Current Program Status
Active
Registration Date
4/1/1999
Participating Start Date
4/1/1999
Participating Approval Date
3/18/2005
Last Recertification Date
2/6/2024
Addresses
Street Address
63 Main St
Brockton, MA 02301
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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11/28/07 UPDATED ADDR (WAS 157 MAIN ST) AND COMBINED THIS SITE WITH CH01070A; 11/28/07 REMOVED BILL TO; 3/18/05 ADDED BILL TO; 2/1/05 ADDED MEDICAID #;
01/22/2010
May 2024
May 2024
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