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CHC30716-02 KNOX, COUNTY OF (Active)
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Main Details
Name
KNOX, COUNTY OF
Subdivision Name
Mount Vernon Health Center
Type
HRSA-Funded Health Center
Site ID
BPS-H80-037972
340B ID
CHC30716-02
Grant Number
H80CS30716
Additional Details
Current Program Status
Active
Registration Date
4/1/2022
Participating Start Date
4/13/2022
Participating Approval Date
4/4/2022
Last Recertification Date
2/10/2025
Contacts
Authorizing Official
Knox County Community Health Center
Nanette RN Snyder, Clinic Director
(740) 398-2842
Primary Contact
Knox County Health Department
Lisa Dudgeon, Director of Nursing
(740) 392-2222 Ext: 2236
Addresses
Street Address
202 West Vine Street
Mount Vernon, OH 43050-3331
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
April 2025
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