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CH05644L Ohio North East Health Systems, Inc. (Terminated)
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Main Details
Name
Ohio North East Health Systems, Inc.
Subdivision Name
Northside Dental Center
Type
HRSA-Funded Health Center
Site ID
BPS-H80-027618
340B ID
CH05644L
Grant Number
H80CS00196
Additional Details
Current Program Status
Terminated
Registration Date
10/4/2019
Participating Start Date
1/1/2020
Participating Approval Date
10/22/2019
Last Recertification Date
2/24/2020
Termination Date
Termination Reason
4/1/2021
Site closure
Contacts
Authorizing Official
ONE Health Ohio
Ronald Dwinnells, CEO
(330) 747-2330
Primary Contact
Ohio North East Health Systems, Inc.
Terri Cole, Administrative Assistant
(330) 747-2330
Addresses
Street Address
500 Gypsy Lane FL 3
Youngstown, OH 44504-1315
Billing Address
Ohio North East Health Systems, Inc.
726 Wick Avenue
Youngstown, OH 44505
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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