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CHC33659-00 My Community Health Center (Active)
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Main Details
Name
My Community Health Center
Subdivision Name
My Community Health Center - Canton
Type
HRSA-Funded Health Center
Site ID
BPS-H80-029501
340B ID
CHC33659-00
Grant Number
H80CS33659
Additional Details
Current Program Status
Active
Registration Date
1/8/2020
Participating Start Date
4/1/2020
Participating Approval Date
1/21/2020
Last Recertification Date
2/10/2025
Contacts
Authorizing Official
My Community Health Center
Juan Paulo Afable, CEO
(502) 509-8987
Primary Contact
My Community Health Center
Kelly Lorenz, Chief Financial Officer
(330) 363-1310
Addresses
Street Address
2600 7th St. SW
Canton, OH 44710-0000
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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