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CH056750 NEIGHBORHOOD HEALTHSOURCE (Active)
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Main Details
Name
NEIGHBORHOOD HEALTHSOURCE
Subdivision Name
FREMONT CLINIC
Type
HRSA-Funded Health Center
Site ID
BPS-H80-002963
340B ID
CH056750
Grant Number
H80CS00516
Additional Details
Current Program Status
Active
Registration Date
1/1/2003
Participating Start Date
1/1/2003
Participating Approval Date
5/17/2004
Last Recertification Date
2/21/2025
Contacts
Authorizing Official
Neighborhood HealthSource
Steven J. Knutson, Executive Director
(612) 287-2428
Primary Contact
Neighborhood HealthSource
Cheryl Gehrke, Director of Clinical Ops
(612) 287-2496
Addresses
Street Address
3300 Fremont Ave N
Minneapolis, MN 55412-2405
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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CORRECTED ENTITY NAME, ADDED E-MAIL
05/17/2004
May 2025
May 2025
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