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CHC28351-04 FAMILY HEALTH SERVICES OF ERIE COUNTY (Terminated)
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Main Details
Name
FAMILY HEALTH SERVICES OF ERIE COUNTY
Subdivision Name
FHS Norwalk Behavioral Health Clinic
Type
HRSA-Funded Health Center
Site ID
BPS-H80-031444
340B ID
CHC28351-04
Grant Number
H80CS28351
Additional Details
Current Program Status
Terminated
Registration Date
1/12/2021
Participating Start Date
4/1/2021
Participating Approval Date
1/21/2021
Last Recertification Date
2/3/2022
Termination Date
Termination Reason
4/1/2023
Other
Contacts
Authorizing Official
Family Health Services of Erie County
David Tatro, CEO
(419) 502-2822
Primary Contact
Family Health Services of Erie County
Katherine Myerholtz, Associate Medical Director
(419) 502-2826
Addresses
Street Address
282 Benedict Ave Ste C
Norwalk, OH 44857-2712
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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