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CHC26576-10 Five Rivers Health Centers (Active)
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Main Details
Name
Five Rivers Health Centers
Subdivision Name
Five Rivers Health Centers Roosevelt Health Center
Type
HRSA-Funded Health Center
Site ID
BPS-H80-029756
340B ID
CHC26576-10
Grant Number
H80CS26576
Additional Details
Current Program Status
Active
Registration Date
1/27/2020
Participating Start Date
4/1/2020
Participating Approval Date
1/28/2020
Last Recertification Date
2/12/2025
Contacts
Authorizing Official
Five Rivers Health Centers
Gina McFarlane-El, CEO
(937) 281-5940
Primary Contact
Five Rivers Health Center
John Tomlin, Pharmacy Director
(937) 329-9786
Addresses
Street Address
1923 W 3rd St
Dayton, OH 45417-2565
Billing Address
Five Rivers Health Centers Accounts Payable
2261 Philadelphia Drive
Dayton
Dayton, OH 45406
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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