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CH02002AT Care For The Homeless (Terminated)
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Main Details
Name
Care For The Homeless
Subdivision Name
Laurel Hall Health Center
Type
HRSA-Funded Health Center
Site ID
BPS-H80-030183
340B ID
CH02002AT
Grant Number
H80CS00007
Additional Details
Current Program Status
Terminated
Registration Date
1/15/2020
Participating Start Date
4/1/2020
Participating Approval Date
2/28/2020
Last Recertification Date
2/1/2024
Termination Date
Termination Reason
4/1/2025
Business decision by the Covered Entity
Contacts
Authorizing Official
care for the homeless
Tawana Hill, CMO
(212) 366-4459
Primary Contact
Care For the Homeless
Isabel Odean, Director of Practice Management
(212) 366-4459 Ext: 252
Addresses
Street Address
8515 101st Ave
Ozone Park, NY 11416-2019
Billing Address
Care For the Homeless
30 East 33rd Street
5th Floor
New York, NY 10016
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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