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CH02139A CHARLES B. WANG COMMUNITY HEALTH CENTER, INC. (Active)
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Main Details
Name
CHARLES B. WANG COMMUNITY HEALTH CENTER, INC.
Subdivision Name
CHARLES B. WANG COMMUNITY HEALTH CENTER, INC.
Type
HRSA-Funded Health Center
Site ID
BPS-H80-004662
340B ID
CH02139A
Grant Number
H80CS00358
Additional Details
Current Program Status
Active
Registration Date
7/1/2002
Participating Start Date
7/1/2002
Participating Approval Date
10/14/2009
Last Recertification Date
3/3/2025
Contacts
Authorizing Official
Charles B. Wang Community Health Center, Inc.
Kaushal Challa, Chief Executive Officer
(212) 379-6988
Primary Contact
Charles B. Wang Community Health Center, Inc.
Hyoseong Nuna Kim, EVP and Chief Medical Officer
(212) 379-6988
Addresses
Street Address
268 Canal St
New York, NY 10013-3599
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
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