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CH05675D Neighborhood HealthSource (Active)
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Main Details
Name
Neighborhood HealthSource
Subdivision Name
North Metro Clinic
Type
HRSA-Funded Health Center
Site ID
BPS-H80-030025
340B ID
CH05675D
Grant Number
H80CS00516
Additional Details
Current Program Status
Active
Registration Date
1/8/2020
Participating Start Date
4/1/2020
Participating Approval Date
2/28/2020
Last Recertification Date
2/21/2025
Contacts
Authorizing Official
Neighborhood HealthSource
Steven J. Knutson, Executive Director
(612) 287-2428
Primary Contact
Neighborhood HealthSource
Cheryl Gehrke, Director of Clinical Ops
(612) 287-2496
Addresses
Street Address
10081 Dogwood Street NW STE 100
Coon Rapids, MN 55448-5281
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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