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CHC33659-01 My Community Health Center (Active)
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Main Details
Name
My Community Health Center
Subdivision Name
My Community Health Center - Magnolia
Type
HRSA-Funded Health Center
Site ID
BPS-H80-029502
340B ID
CHC33659-01
Grant Number
H80CS33659
Additional Details
Current Program Status
Active
Registration Date
2/3/2020
Participating Start Date
4/1/2020
Participating Approval Date
2/4/2020
Last Recertification Date
2/10/2025
Contacts
Authorizing Official
My Community Health Center
Juan Paulo Afable, CEO
(502) 509-8987
Primary Contact
My Community Health Center
Kelly Lorenz, Chief Financial Officer
(330) 363-1310
Addresses
Street Address
10029 Cleveland Ave. S
Magnolia, OH 44643-9781
Billing Address
My Community Health Center
2600 Seventh St. SW
Canton, OH 44710-1799
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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