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FQHCLA436 Ironbound Community Health Center Inc. (Active)
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Main Details
Name
Ironbound Community Health Center Inc.
Subdivision Name
Hope & Esperanza Community Health Center
Type
Health Center Program Look-Alike
Site ID
BPS-LAL-035335
340B ID
FQHCLA436
Grant Number
LALCS46446
Additional Details
Current Program Status
Active
Registration Date
9/27/2022
Participating Start Date
9/28/2022
Participating Approval Date
9/28/2022
Last Recertification Date
2/11/2025
Contacts
Authorizing Official
Ironbound Community Health Center
Nuris Rodriguez-Pabon, CEO
(973) 433-9773
Primary Contact
ICHC dba Hope and Esperanza Community Health Center
Ivy Gonzalez, Office Manager
(973) 433-9773
Addresses
Street Address
788 Mount Prospect Ave Fl 2
Newark, NJ 07104-3221
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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June 2025
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