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CHC28351-02 FAMILY HEALTH SERVICES OF ERIE COUNTY (Terminated)
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Main Details
Name
FAMILY HEALTH SERVICES OF ERIE COUNTY
Subdivision Name
FHS - OB/GYN
Type
HRSA-Funded Health Center
Site ID
BPS-H80-027145
340B ID
CHC28351-02
Grant Number
H80CS28351
Additional Details
Current Program Status
Terminated
Registration Date
1/10/2020
Participating Start Date
4/1/2020
Participating Approval Date
1/21/2020
Last Recertification Date
Termination Date
Termination Reason
4/1/2020
Site closure
Contacts
Authorizing Official
Family Health Services of Erie County
David Tatro, CEO
(419) 502-2822
Primary Contact
Family Health Services of Erie County
Katherine Myerholtz, Associate Medical Director
(419) 502-2826
Addresses
Street Address
1912 Hayes Ave STE E
Sandusky, OH 44870
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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