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CHC40174-00 IRONBOUND COMMUNITY HEALTH CENTER INC. (Terminated)
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Main Details
Name
IRONBOUND COMMUNITY HEALTH CENTER INC.
Subdivision Name
Hope & Esperanza Community Health Center
Type
HRSA-Funded Health Center
Site ID
BPS-H80-032142
340B ID
CHC40174-00
Grant Number
H80CS40174
Additional Details
Current Program Status
Terminated
Registration Date
5/25/2021
Participating Start Date
5/25/2021
Participating Approval Date
5/25/2021
Last Recertification Date
1/31/2022
Termination Date
Termination Reason
9/28/2022
Change of covered entity type (non-hospital)
Contacts
Authorizing Official
Ironbound Community Health Center, Inc.
Michelle Lolo, CEO
(973) 433-9773
Primary Contact
Ironbound Community Health Center, Inc.
Gretchen Renee Helmstetter, Administrator
(504) 717-1168
Addresses
Street Address
788 Mount Prospect Ave Fl 2
Newark, NJ 07104-3221
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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April 2025
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