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FQHCLA393A Neighborhood Health Center, INC (Active)
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Main Details
Name
Neighborhood Health Center, INC
Subdivision Name
Neighborhood Health Center - Union County Medical Center
Type
Health Center Program Look-Alike
Site ID
BPS-LAL-030111
340B ID
FQHCLA393A
Grant Number
LALCS32717
Additional Details
Current Program Status
Active
Registration Date
1/10/2020
Participating Start Date
4/1/2020
Participating Approval Date
1/16/2020
Last Recertification Date
2/14/2025
Contacts
Authorizing Official
Neighborhood Health Center
Carrie N Miles, CEO
(765) 965-4299
Primary Contact
Neighborhood Health Center
Taylor Roman, Finance Coordinator
(765) 598-4300
Addresses
Street Address
950 N Market St
Liberty, IN 47353-8496
Billing Address
Neighborhood Health Center
101 S 10th Street
Richmond, IN 47374
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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