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CH021887CW Sunset Park Health Council, Inc. (ToBeTerminated)
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Main Details
Name
Sunset Park Health Council, Inc.
Subdivision Name
Premium Health - Womens Health
Type
HRSA-Funded Health Center
Site ID
BPS-H80-027988
340B ID
CH021887CW
Grant Number
H80CS07914
Additional Details
Current Program Status
ToBeTerminated
Registration Date
1/9/2020
Participating Start Date
4/1/2020
Participating Approval Date
2/28/2020
Last Recertification Date
3/6/2025
Termination Date
Termination Reason
7/1/2025
Change of covered entity type (non-hospital)
Contacts
Authorizing Official
Sunset Park Health Council, Inc.
Larry K. McReynolds, Executive Director
(718) 630-7216
Primary Contact
Sunset Park Health Council, Inc.
Astrid P. Gonzalez, VP - Finance
(718) 630-7047
Addresses
Street Address
4514 16th Avenue FL 4
Brooklyn, NY 11204-1101
Billing Address
Premium Health Center
620 Foster Avenue
Brooklyn, NY 11230
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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June 2025
June 2025
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