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CH02056AQ Mosaic Health, Inc. (Active)
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Main Details
Name
Mosaic Health, Inc.
Subdivision Name
Mosaic Health Utica Dental
Type
HRSA-Funded Health Center
Site ID
BPS-H80-028159
340B ID
CH02056AQ
Grant Number
H80CS00167
Additional Details
Current Program Status
Active
Registration Date
10/7/2019
Participating Start Date
1/1/2020
Participating Approval Date
10/7/2019
Last Recertification Date
2/14/2025
Contacts
Authorizing Official
Mosaic Health, Inc.
Michael Joseph Leary, President/CEO
(585) 325-2280 Ext: 7302
Primary Contact
Mosaic Health, Inc.
Vanessa I. Simmons, Quality Specialist
(585) 325-2280 Ext: 7308
Addresses
Street Address
3 Parkside Court Building 1
Utica, NY 13501-5643
Billing Address
Mosaic Health, Inc.
1 S. Washington St
Suite 300
Rochester, NY 14614
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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