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CH02056G Mosaic Health, Inc. (Terminated)
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Main Details
Name
Mosaic Health, Inc.
Subdivision Name
Unity Family Medicine at Orchard Street
Type
HRSA-Funded Health Center
Site ID
BPS-H80-000478
340B ID
CH02056G
Grant Number
H80CS00167
Additional Details
Current Program Status
Terminated
Registration Date
7/1/2001
Participating Start Date
7/1/2001
Participating Approval Date
4/2/2004
Last Recertification Date
2/12/2024
Termination Date
Termination Reason
7/1/2024
Business decision by the Covered Entity
Contacts
Authorizing Official
Mosaic Health, Inc.
Michael Joseph Leary, President/CEO
(585) 325-2280 Ext: 7302
Primary Contact
Mosaic Health, Inc.
Vanessa I. Simmons, Quality Specialist
(585) 325-2280 Ext: 7308
Addresses
Street Address
158 Orchard St
Rochester, NY 14611-1357
Billing Address
Mosaic Health, Inc.
1 S. Washington St
Suite 300
Rochester, NY 14614-3632
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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ADMIN CORRECTION - WAS ID #CH020560S 7/12/11 - CHANGED AO FROM LOUIS T PARIS AND CONTACT FROM VANESSA LAGARES.
07/13/2011
ADMIN CORRECTION - WAS ID #CH020560S 7/12/11 - CHANGED AO FROM LOUIS T PARIS AND CONTACT FROM VANESSA LAGARES.
07/01/2001
May 2025
May 2025
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