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CHC28349-01 SPRINGVALE HEALTH CENTERS, INC. (Active)
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Main Details
Name
SPRINGVALE HEALTH CENTERS, INC.
Subdivision Name
Administration - 201 Hospital Drive
Type
HRSA-Funded Health Center
Site ID
BPS-H80-017813
340B ID
CHC28349-01
Grant Number
H80CS28349
Additional Details
Current Program Status
Active
Registration Date
10/14/2020
Participating Start Date
1/1/2021
Participating Approval Date
10/26/2020
Last Recertification Date
2/12/2025
Contacts
Authorizing Official
SpringVale Health Centers
Joseph Boroski, Chief Executive Officer
(330) 343-6631
Primary Contact
SPRINGVALE HEALTH CENTERS, INC.
NICOLE LEWIS, DIRECTOR OF PHARMACY
(330) 365-1085
Addresses
Street Address
201 Hospital Dr
Dover, OH 44622-2058
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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May 2025
May 2025
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