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CH05096M COMMUNITY & RURAL HEALTH SERVICES (Terminated)
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Main Details
Name
COMMUNITY & RURAL HEALTH SERVICES
Subdivision Name
Community Health Services - Bellevue
Type
HRSA-Funded Health Center
Site ID
BPS-H80-035426
340B ID
CH05096M
Grant Number
H80CS00661
Additional Details
Current Program Status
Terminated
Registration Date
2/21/2023
Participating Start Date
4/1/2023
Participating Approval Date
2/21/2023
Last Recertification Date
1/29/2024
Termination Date
Termination Reason
10/1/2024
Site closure
Contacts
Authorizing Official
Community and Rural Health Services
JOSEPH LISZAK, CEO
(419) 334-8943 Ext: 225
Primary Contact
Community and Rural Health Services
Kriti Arora, Medical Director
(419) 334-8943
Addresses
Street Address
1255 West Main Street
Bellevue, OH 44811
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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