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CH05092L NEIGHBORHOOD HEALTH CARE INCORPORATED (Terminated)
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Main Details
Name
NEIGHBORHOOD HEALTH CARE INCORPORATED
Subdivision Name
Neighborhood Family Practice - Barton Senior Center
Type
HRSA-Funded Health Center
Site ID
BPS-H80-033027
340B ID
CH05092L
Grant Number
H80CS00665
Additional Details
Current Program Status
Terminated
Registration Date
1/14/2022
Participating Start Date
1/25/2022
Participating Approval Date
1/18/2022
Last Recertification Date
2/5/2024
Termination Date
Termination Reason
4/1/2024
Business decision by the Covered Entity
Contacts
Authorizing Official
Neighborhood Health Care Incorporated
Domonic Montrell Hopson, Chief Executive Officer
(216) 302-5252
Primary Contact
Neighborhood Health Care Incorporated
Kathryn Posendek, Pharmacy Director
(216) 281-0872 Ext: 1178
Addresses
Street Address
14306 Detroit Ave Rm A
Lakewood, OH 44107-4417
Billing Address
Neighborhood Health Care, Inc
4115 Bridge Ave
Suite 300
Cleveland, OH 44113
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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June 2025
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