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CH05847D COLUMBUS NEIGHBORHOOD HEALTH CENTER, INC. (Active)
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Main Details
Name
COLUMBUS NEIGHBORHOOD HEALTH CENTER, INC.
Subdivision Name
PrimaryOne Health 2300 West Broad Street
Type
HRSA-Funded Health Center
Site ID
BPS-H80-008673
340B ID
CH05847D
Grant Number
H80CS00118
Additional Details
Current Program Status
Active
Registration Date
4/1/1999
Participating Start Date
4/1/1999
Participating Approval Date
6/14/2004
Last Recertification Date
2/19/2025
Contacts
Authorizing Official
PrimaryOne Health
Nichole Gomez Otayco, COO
(217) 273-7718
Primary Contact
PrimaryOne Health
Rebecca Williamson, 340BProgram Manager
(614) 859-1904
Addresses
Street Address
2300 W Broad St
Columbus, OH 43204-3783
Billing Address
COLUMBUS NEIGHBORHOOD HEALTH CENTER, INC.
2780 Airport Drive, Suite 100
Columbus, OH 43219
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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4/19/10 UPDATED PHYS ADD (WAS 2500 SULLIVANT AVENUE), UPDATED SUB-DIV NAME (WAS HILLTOP HEALTH CENTER) 6/21/11 - CHANGED BILLING ADDRESS FROM 600 WEST SPRING STREET - REAR 2. CHANGE AUTHORIZING OFFICIAL TITLE FROM CEO AND CONTACT TITLE FROM CLINICAL SERVICES DIRECTOR
06/21/2011
4/19/10 UPDATED PHYS ADD (WAS 2500 SULLIVANT AVENUE), UPDATED SUB-DIV NAME (WAS HILLTOP HEALTH CENTER) 6/21/11 - CHANGED BILLING ADDRESS FROM 600 WEST SPRING STREET - REAR 2. CHANGE AUTHORIZING OFFICIAL TITLE FROM CEO AND CONTACT TITLE FROM CLINICAL SERVICES DIRECTOR
06/21/2011
April 2025
April 2025
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