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CH02016N SYRACUSE COMMUNITY HEALTH CENTER, INC. (Terminated)
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Main Details
Name
SYRACUSE COMMUNITY HEALTH CENTER, INC.
Subdivision Name
Temporary Site - Catholic Charities Mens Shelter
Type
HRSA-Funded Health Center
Site ID
BPS-H80-030700
340B ID
CH02016N
Grant Number
H80CS00434
Additional Details
Current Program Status
Terminated
Registration Date
8/21/2020
Participating Start Date
8/25/2020
Participating Approval Date
8/25/2020
Last Recertification Date
2/24/2023
Termination Date
Termination Reason
4/1/2024
Other
Contacts
Authorizing Official
Syracuse Community Health Center
Ofrona Reid, President & CEO
(315) 476-7921
Primary Contact
Syracuse Community Health Center
Kerri Devere Warner, Director of Revenue Cycle Management
(315) 476-7921 Ext: 2357
Addresses
Street Address
1074 S Clinton St
Syracuse, NY 13202-3409
Billing Address
Syracuse Community Health Center
819 S Salina Street
Syracuse, NY 13202
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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