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CH031060T Neighborhood Health (Active)
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Main Details
Name
Neighborhood Health
Subdivision Name
Neighborhood Health at Martha Custis Drive
Type
HRSA-Funded Health Center
Site ID
BPS-H80-034341
340B ID
CH031060T
Grant Number
H80CS02446
Additional Details
Current Program Status
Active
Registration Date
7/15/2022
Participating Start Date
10/1/2022
Participating Approval Date
7/22/2022
Last Recertification Date
2/16/2025
Contacts
Authorizing Official
Neighborhood Health
Basim Khan, Executive Director
(703) 535-5568 Ext: 4104
Primary Contact
NEIGHBORHOOD HEALTH
DANY HERNANDEZ, PHARMACY PROGRAM MANAGER
(703) 535-5568 Ext: 2814
Addresses
Street Address
1225 Martha Custis Dr STE C1
Alexandria, VA 22302-2040
Billing Address
Neighborhood Health at Huntwood Plaza
5845 Richmond Highway
Suite 405
Alexandria, VA 22303
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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