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CHC26576-09 Five Rivers Health Centers (Active)
Main Details
Name
Five Rivers Health Centers
Subdivision Name
Five Rivers Health Centers Trotwood Madison Health Center
Type
HRSA-Funded Health Center
Site ID
BPS-H80-029758
340B ID
CHC26576-09
Grant Number
H80CS26576
Contacts
Authorizing Official
Five Rivers Health Centers
Gina McFarlane-El, CEO
(937) 281-5940
Primary Contact
Five Rivers Health Centers
John Howard Tomlin, Pharmacy Director
(937) 281-6825
Additional Details
Current Program Status
Active
Registration Date
1/15/2020
Participating Start Date
4/1/2020
Participating Approval Date
1/28/2020
Last Recertification Date
2/5/2024
Addresses
Street Address
3594 N Snyder Rd
Dayton, OH 45426-3835
Billing Address
Five Rivers Health Centers
2261 Philadephia Drive Suite 200
Dayton, OH 45406
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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