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CH05096L Community and Rural Health Services (Active)
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Main Details
Name
Community and Rural Health Services
Subdivision Name
Community Health Services - Third Avenue
Type
HRSA-Funded Health Center
Site ID
BPS-H80-030134
340B ID
CH05096L
Grant Number
H80CS00661
Additional Details
Current Program Status
Active
Registration Date
4/5/2021
Participating Start Date
7/1/2021
Participating Approval Date
4/6/2021
Last Recertification Date
2/10/2025
Contacts
Authorizing Official
Community and Rural Health Services
JOSEPH LISZAK, CEO
(419) 334-8943 Ext: 225
Primary Contact
Community and Rural Health Services
Komal Masood, Medical Director
(419) 334-8943
Addresses
Street Address
605 3rd Ave Ste F
Fremont, OH 43420-3269
Billing Address
Community Health Services
2221 Hayes Avenue
Fremont, OH 43420
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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