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CHC30718-09 SIGNATURE HEALTH (Active)
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Main Details
Name
SIGNATURE HEALTH
Subdivision Name
Signature Health New Willoughby Clinic
Type
HRSA-Funded Health Center
Site ID
BPS-H80-037813
340B ID
CHC30718-09
Grant Number
H80CS30718
Additional Details
Current Program Status
Active
Registration Date
11/28/2023
Participating Start Date
1/1/2024
Participating Approval Date
11/29/2023
Last Recertification Date
2/22/2025
Contacts
Authorizing Official
Signature Health, Inc.
Jonathan Albert Lee, CEO
(440) 953-9999 Ext: 705133
Primary Contact
Signature Health, Inc
Shannon Majoras, Chief Compliance Officer
(440) 578-8200
Addresses
Street Address
38876 Mentor Ave
Willoughby, OH 44094-7931
Billing Address
Signature Health, Inc.
7232 Justin Way
Mentor, OH 44060
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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June 2025
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