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CHC26576-12 Five Rivers Health Centers (Terminated)
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Main Details
Name
Five Rivers Health Centers
Subdivision Name
Five Rivers Gem City Market
Type
HRSA-Funded Health Center
Site ID
BPS-H80-032520
340B ID
CHC26576-12
Grant Number
H80CS26576
Additional Details
Current Program Status
Terminated
Registration Date
8/17/2021
Participating Start Date
10/1/2021
Participating Approval Date
8/20/2021
Last Recertification Date
2/9/2023
Termination Date
Termination Reason
4/1/2024
Site closure
Contacts
Authorizing Official
Five Rivers Health Centers
Gina McFarlane-El, CEO
(937) 281-5940
Primary Contact
Five Rivers Health Centers
John Howard Tomlin, Pharmacy Director
(937) 281-6825
Addresses
Street Address
324 Salem Ave Ste 100
Dayton, OH 45406-5812
Billing Address
Five Rivers Health Centers
2261 Philadelphia Drive
200
Dayton, OH 45406
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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