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CH05847W Columbus Neighborhood Health Center, Inc (Active)
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Main Details
Name
Columbus Neighborhood Health Center, Inc
Subdivision Name
PrimaryOne Health Mobile Health Center East
Type
HRSA-Funded Health Center
Site ID
BPS-H80-035192
340B ID
CH05847W
Grant Number
H80CS00118
Additional Details
Current Program Status
Active
Registration Date
7/7/2023
Participating Start Date
10/1/2023
Participating Approval Date
7/10/2023
Last Recertification Date
2/20/2025
Contacts
Authorizing Official
PrimaryOne Health
Nichole Gomez Otayco, COO
(217) 273-7718
Primary Contact
PrimaryOne Health
Rebecca Williamson, 340BProgram Manager
(614) 859-1904
Addresses
Street Address
1180 E. Main Street E. Main Street
Columbus, OH 43205
Billing Address
Columbus Neighborhood Health Center, Inc.
2780 Airport Drive
Suite 100
Columbus, OH 43219
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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