340B Drug Pricing Program Database


CH090830 SANTA BARBARA COUNTY HEALTH CARE (Active) - information as of 6/8/2025 11:53:46 PM

Main Details
SANTA BARBARA COUNTY HEALTH CARE
SANTA BARBARA COUNTY PUBLIC HEALTH DEPARTMENT
HRSA-Funded Health Center
BPS-H80-000471
CH090830
H80CS00046


Additional Details
Active
12/1/1992
12/1/1992
4/28/2005
3/5/2025

Contacts

Santa Barbara County Public Health Dept
Paola Hurtado, Assistant Deputy Director PCFH
(805) 698-2418

County of Santa Barbara
Trang Ngo, Pharmacist
(805) 737-6094

Addresses

345 Camino del Remedio
SANTA BARBARA, CA 93110-1332

Same as Street Address


  • Comments
  • Medicaid Billing
  • Shipping Addresses
  • Contract Pharmacies
  • Grantee Sites
  • Grantee Sites Contract Pharmacies
  • History
Comments
CommentLast Updated On 
3/26/05 - ADMIN CORRECTION REPLACES HO090830, 4/28/05 - ADDED ADDR HEADER, 1/10/06 - NEW CONTACT07/22/2009
Medicaid Billing

Yes
StateMedicaid NumberNPI Number
CAPHB454770,PHA467130,FHC70022F,PHA4638101881786333,1205951738,1245337773,1952324980
Shipping Addresses

Same as Street Address
Contract Pharmacies
Contract DetailPharmacy NameAddressAddress Cont.CityStateZip CodeApproval DateBegin DateCarve-In Effective DateTermination DateLast Updated On
Contract DetailALBERTSONS LLCSAV-ON PHARMACY #3171 1500 NORTH H STREET
LOMPOCCA9343610/14/202201/01/2023  01/01/2023
Contract DetailDIPLOMAT SPECIALTY PHARMACY4100 S SAGINAW ST STE D
FLINTMI48507-268308/29/201208/29/2012 01/01/202202/03/2022
Contract DetailDIPLOMAT SPECIALTY PHARMACY15211 VANOWEN ST STE 301
VAN NUYSCA9140507/12/201910/01/2019 02/01/202102/08/2021
Contract DetailDIPLOMAT SPECIALTY PHARMACY OF PHOENIX,DIPLOMAT SPECIALTY PHARMACY 485 N. JUNIPER DR
CHANDLERAZ8522607/12/201910/01/2019 02/01/202102/08/2021
Contract DetailDIPLOMAT SPECIALTY PHARMACY OF SOUTHERNDIPLOMAT SPECIALTY PHARMACY 1809 EXCISE AVENUE
SUITE 204-208 		ONTARIOCA9176104/02/201307/01/2013 07/31/201907/31/2019
Contract DetailGARFIELD BEACH CVS, L.L.C.DBA: CVS/PHARMACY # 09737 189 SOUTH TURNPIKE ROAD
GOLETACA9311101/16/201704/01/2017 06/30/202207/06/2022
Contract DetailGARFIELD BEACH CVS, L.L.C.DBA: CVS/PHARMACY # 09750 1830 NORTH BROADWAY
SANTA MARIACA9345401/16/201704/01/2017 06/30/202207/06/2022
Contract DetailGARFIELD BEACH CVS, L.L.C.DBA: CVS/PHARMACY # 09860 222 W. CARRILLO ST.
SANTA BARBARACA9310101/16/201704/01/2017 06/30/202207/06/2022
Contract DetailHOMETOWN PHARMACY  1414 S MILLER STREET
SUITES E & F 		SANTA MARIACA9345408/31/201209/04/2012 06/14/201611/10/2016
Contract DetailL M CALDWELL PHARMACIST  1509 STATE ST
SANTA BARBARACA93101-251309/12/201209/12/2012 01/18/201703/23/2017
Contract DetailL M CALDWELL PHARMACIST  235 WEST PUEBLO ST
SANTA BARBARACA9310509/12/201209/12/2012 01/18/201703/23/2017
Contract DetailLA JOYA PHARMACY1115 WEST MAIN STREET STE E-1
SANTA MARIACA93458-934508/31/201209/04/2012 09/25/201809/25/2018
Contract DetailLONGS DRUG STORES CALIFORNIA, L.L.C.DBA: CVS/PHARMACY # 03153 733 E MAIN ST
SANTA MARIACA9345401/16/201704/01/2017 06/30/202207/06/2022
Contract DetailLONGS DRUG STORES CALIFORNIA, L.L.C.DBA: CVS/PHARMACY # 09235 1036 CASITAS PASS RD
CARPINTERIACA9301301/16/201704/01/2017 06/30/202207/06/2022
Contract DetailLONGS DRUG STORES CALIFORNIA, L.L.C.DBA: CVS/PHARMACY # 09824 2973 STATE ST
SANTA BARBARACA9310501/16/201704/01/2017 10/31/201802/07/2020
Contract DetailLONGS DRUG STORES CALIFORNIA, L.L.C.DBA: CVS/PHARMACY # 09871 1317 N H ST
LOMPOCCA9343601/16/201704/01/2017 06/30/202207/06/2022
Contract DetailRALPHS GROCERY CODBA RALPH'S #680 100 W. CARRILLO STREET
SANTA BARBARACA9310110/11/201210/11/2012 07/13/201808/17/2018
Contract DetailTHE VONS COMPANIES INCVONS PHARMACY #1738 729 NORTH H STREET
LOMPOCCA9343610/11/201210/11/2012 05/11/202106/17/2021
Contract DetailTHRIFTY PAYLESS, INC.RITE AID #5835 345 TOWN CENTER WEST
SANTA MARIACA9345801/14/202004/01/2020  04/01/2020
Contract DetailTHRIFTY PAYLESS, INC.RITE AID #5788 35 SOUTH MILPAS STREET
SANTA BARBARACA9310301/14/202004/01/2020  04/01/2020
Contract DetailTHRIFTY PAYLESS, INC.RITE AID #5836 2405 SOUTH BROADWAY
SANTA MARIACA9345401/14/202004/01/2020  04/01/2020
Contract DetailTHRIFTY PAYLESS, INC.RITE AID #5790 1976 CLIFF DRIVE
SANTA BARBARACA9310901/11/202404/01/2024  04/01/2024
Contract DetailTHRIFTY PAYLESS, INC.RITE AID #5791 199 NORTH FAIRVIEW AVENUE
GOLETACA9311701/11/202404/01/2024  04/01/2024
Contract DetailUS BIOSERVICESUS BIOSERVICE CORPORATION 5025 PLANO PARKWAY
STE 100 		CARROLLTONTX7501010/14/201601/01/2017 12/05/201712/05/2017
Contract DetailUS BIOSERVICESPHARM PLUS ACQUISITION, INC. 5100 E HUNTER AVE
SUITE 101 		ANAHEIMCA92807-204910/14/201601/01/2017 12/05/201712/05/2017
Contract DetailVALLEY MEDICAL PHARMACYDBA JDX PHARMACY 1504 S BROADWAY
SANTA MARIACA93454-721408/23/201208/27/2012 02/01/202202/03/2022
Contract DetailWAL-MART CENTRAL FILL 10-2670608 SPRING HILL DR # 3 SUITE 300
SPRINGTX7738601/12/201704/01/2017  01/12/2017
Contract DetailWAL-MART PHARMACY 10-1989701 WEST CENTRAL AVE
LOMPOCCA9343608/22/201208/23/2012  03/28/2013
Contract DetailWAL-MART PHARMACY 10-25072220 SOUTH BRADLEY
SANTA MARIACA9345507/08/201610/01/2016  07/08/2016
Contract DetailWAL-MART PHARMACY 10-56582240 S BRADLEY RD
SANTA MARIACA9345404/01/201507/01/2015 07/20/201808/17/2018
Contract DetailWAL-MART PHARMACY 10-5659500 SOUTH BLOSSER RD
SANTA MARIACA9345404/01/201507/01/2015  04/01/2015
Contract DetailWAL-MART PHARMACY 10-59979600 PARKSOUTH CT. SUITE 100
ORLANDOFL3283701/12/201704/01/2017  01/12/2017
Contract DetailWALGREEN CO.DBA: WALGREENS # 06287 2399 S BROADWAY
SANTA MARIACA93454-783201/13/201404/01/2014  01/13/2014
Contract DetailWALGREEN CO.DBA: WALGREENS # 06288 707 N BROADWAY
SANTA MARIACA9345401/13/201404/01/2014  01/13/2014
Contract DetailWALGREEN CO.DBA: WALGREENS # 06290 937 NORTH H STREET
LOMPOCCA93436-414801/13/201404/01/2014  01/13/2014
Contract DetailWALGREEN CO.DBA: WALGREENS # 06289 5900 CALLE REAL
GOLETACA93117-231201/14/201504/01/2015  01/14/2015
Contract DetailWALMART PHARMACY 10-51692252 NORTH 8TH STREET
SUITE A 		ROGERSAR7275604/14/202307/01/2023  07/01/2023
Grantee Sites
340B ID 340B StatusSiteIdNameSub NameAddressAddress Cont.CityState
CH090830ActiveBPS-H80-000471SANTA BARBARA COUNTY HEALTH CARESANTA BARBARA COUNTY PUBLIC HEALTH DEPARTMENT345 Camino del Remedio SANTA BARBARACA
CH09083AActiveBPS-H80-004431SANTA BARBARA, COUNTY OFCOUNTY HEALTH CLINIC-SANTA MARIA2115 Centerpointe Pkwy Santa MariaCA
CH09083AAActiveBPS-H80-000456SANTA BARBARA COUNTY HEALTH CARECOUNTY HLTH CLINIC - CARPINTERIA931 Walnut Ave CarpinteriaCA
CH09083AFActiveBPS-H80-000108SANTA BARBARA, COUNTY OFGOOD SAMARITAN SHELTER401 W. MORRISON SANTA MARIACA
CH09083AGActiveBPS-H80-006654SANTA BARBARA, COUNTY OFPATH (People Assisting the Homeless)816 CACIQUE ST SANTA BARBARACA
CH09083AHActiveBPS-H80-007107SANTA BARBARA, COUNTY OFSANTA BARBARA RESCUE MISSION535 E. YANONALI ST SANTA BARBARACA
CH09083AJActiveBPS-H80-022356SANTA BARBARA, COUNTY OFFranklin Elementary School Health Care Center1111 E Mason St Santa BarbaraCA
CH09083DActiveBPS-H80-000209SANTA BARBARA COUNTY HEALTH CARECOUNTY HEALTH CLINIC - LOMPOC301 N R ST LOMPOCCA
CH09083ZActiveBPS-H80-001169 SANTA BARBARA COUNTY HEALTH CARECOUNTY HEALTH CLINIC FRANKLIN1136 E. Montecito St Santa BarbaraCA
Grantee Sites Contract Pharmacies
340B IDPharmacy NameAddressAddress Cont.CityStateZip CodeBegin DateCarve-In Effective DateTermination Date
CH090830ALBERTSONS LLCSAV-ON PHARMACY #3171 1500 NORTH H STREET
LOMPOCCA9343601/01/2023  
CH090830DIPLOMAT SPECIALTY PHARMACY4100 S SAGINAW ST STE D
FLINTMI48507-268308/29/2012 01/01/2022
CH090830DIPLOMAT SPECIALTY PHARMACY15211 VANOWEN ST STE 301
VAN NUYSCA9140510/01/2019 02/01/2021
CH090830DIPLOMAT SPECIALTY PHARMACY OF PHOENIX,DIPLOMAT SPECIALTY PHARMACY 485 N. JUNIPER DR
CHANDLERAZ8522610/01/2019 02/01/2021
CH090830DIPLOMAT SPECIALTY PHARMACY OF SOUTHERNDIPLOMAT SPECIALTY PHARMACY 1809 EXCISE AVENUE
SUITE 204-208 		ONTARIOCA9176107/01/2013 07/31/2019
CH090830GARFIELD BEACH CVS, L.L.C.DBA: CVS/PHARMACY # 09737 189 SOUTH TURNPIKE ROAD
GOLETACA9311104/01/2017 06/30/2022
CH090830GARFIELD BEACH CVS, L.L.C.DBA: CVS/PHARMACY # 09750 1830 NORTH BROADWAY
SANTA MARIACA9345404/01/2017 06/30/2022
CH090830GARFIELD BEACH CVS, L.L.C.DBA: CVS/PHARMACY # 09860 222 W. CARRILLO ST.
SANTA BARBARACA9310104/01/2017 06/30/2022
CH090830HOMETOWN PHARMACY  1414 S MILLER STREET
SUITES E & F 		SANTA MARIACA9345409/04/2012 06/14/2016
CH090830L M CALDWELL PHARMACIST  1509 STATE ST
SANTA BARBARACA93101-251309/12/2012 01/18/2017
CH090830L M CALDWELL PHARMACIST  235 WEST PUEBLO ST
SANTA BARBARACA9310509/12/2012 01/18/2017
CH090830LA JOYA PHARMACY1115 WEST MAIN STREET STE E-1
SANTA MARIACA93458-934509/04/2012 09/25/2018
CH090830LONGS DRUG STORES CALIFORNIA, L.L.C.DBA: CVS/PHARMACY # 03153 733 E MAIN ST
SANTA MARIACA9345404/01/2017 06/30/2022
CH090830LONGS DRUG STORES CALIFORNIA, L.L.C.DBA: CVS/PHARMACY # 09235 1036 CASITAS PASS RD
CARPINTERIACA9301304/01/2017 06/30/2022
CH090830LONGS DRUG STORES CALIFORNIA, L.L.C.DBA: CVS/PHARMACY # 09824 2973 STATE ST
SANTA BARBARACA9310504/01/2017 10/31/2018
CH090830LONGS DRUG STORES CALIFORNIA, L.L.C.DBA: CVS/PHARMACY # 09871 1317 N H ST
LOMPOCCA9343604/01/2017 06/30/2022
CH090830RALPHS GROCERY CODBA RALPH'S #680 100 W. CARRILLO STREET
SANTA BARBARACA9310110/11/2012 07/13/2018
CH090830THE VONS COMPANIES INCVONS PHARMACY #1738 729 NORTH H STREET
LOMPOCCA9343610/11/2012 05/11/2021
CH090830THRIFTY PAYLESS, INC.RITE AID #5835 345 TOWN CENTER WEST
SANTA MARIACA9345804/01/2020  
CH090830THRIFTY PAYLESS, INC.RITE AID #5788 35 SOUTH MILPAS STREET
SANTA BARBARACA9310304/01/2020  
CH090830THRIFTY PAYLESS, INC.RITE AID #5836 2405 SOUTH BROADWAY
SANTA MARIACA9345404/01/2020  
CH090830THRIFTY PAYLESS, INC.RITE AID #5790 1976 CLIFF DRIVE
SANTA BARBARACA9310904/01/2024  
CH090830THRIFTY PAYLESS, INC.RITE AID #5791 199 NORTH FAIRVIEW AVENUE
GOLETACA9311704/01/2024  
CH090830US BIOSERVICESUS BIOSERVICE CORPORATION 5025 PLANO PARKWAY
STE 100 		CARROLLTONTX7501001/01/2017 12/05/2017
CH090830US BIOSERVICESPHARM PLUS ACQUISITION, INC. 5100 E HUNTER AVE
SUITE 101 		ANAHEIMCA92807-204901/01/2017 12/05/2017
CH090830VALLEY MEDICAL PHARMACYDBA JDX PHARMACY 1504 S BROADWAY
SANTA MARIACA93454-721408/27/2012 02/01/2022
CH090830WAL-MART CENTRAL FILL 10-2670608 SPRING HILL DR # 3 SUITE 300
SPRINGTX7738604/01/2017  
CH090830WAL-MART PHARMACY 10-1989701 WEST CENTRAL AVE
LOMPOCCA9343608/23/2012  
CH090830WAL-MART PHARMACY 10-25072220 SOUTH BRADLEY
SANTA MARIACA9345510/01/2016  
CH090830WAL-MART PHARMACY 10-56582240 S BRADLEY RD
SANTA MARIACA9345407/01/2015 07/20/2018
CH090830WAL-MART PHARMACY 10-5659500 SOUTH BLOSSER RD
SANTA MARIACA9345407/01/2015  
CH090830WAL-MART PHARMACY 10-59979600 PARKSOUTH CT. SUITE 100
ORLANDOFL3283704/01/2017  
CH090830WALGREEN CO.DBA: WALGREENS # 06287 2399 S BROADWAY
SANTA MARIACA93454-783204/01/2014  
CH090830WALGREEN CO.DBA: WALGREENS # 06288 707 N BROADWAY
SANTA MARIACA9345404/01/2014  
CH090830WALGREEN CO.DBA: WALGREENS # 06290 937 NORTH H STREET
LOMPOCCA93436-414804/01/2014  
CH090830WALGREEN CO.DBA: WALGREENS # 06289 5900 CALLE REAL
GOLETACA93117-231204/01/2015  
CH090830WALMART PHARMACY 10-51692252 NORTH 8TH STREET
SUITE A 		ROGERSAR7275607/01/2023  
History
SectionFieldActionActivityValue BeforeValue AfterTimestamp 
DetailsLast Recertification DateUpdateRecertification2/12/2024 3:35:11 PM3/5/2025 8:59:05 AM3/5/2025 8:59 AM
DetailsEntity SubnameUpdateRecertificationSanta Barbara Health Care CenterSANTA BARBARA COUNTY PUBLIC HEALTH DEPARTMENT3/5/2025 8:59 AM
ContactsPrimary ContactUpdateGroup Change RequestWalker, Frank Perry Pharmacy Director Santa Barbara County Public Health Department 8056987586Ngo, Trang Pharmacist County of Santa Barbara 80573760946/7/2024 9:43 AM
DetailsLast Recertification DateUpdateRecertification2/1/2023 6:27:07 PM2/12/2024 3:35:11 PM2/12/2024 3:35 PM
ContactsPrimary ContactUpdateGroup Change RequestCumber, Jessica Interim Pharmacy Director Santa Barbara County Public Health Dept 8056814017Walker, Frank Perry Pharmacy Director Santa Barbara County Public Health Department 805698758611/22/2023 2:35 PM
ContactsAuthorizing OfficialUpdateProfile Change RequestHurtado, Paola Assistant Deputy Director PCFH Santa Barbara County Public Health Dept 8056815423Hurtado, Paola Assistant Deputy Director PCFH Santa Barbara County Public Health Dept 805698241811/22/2023 2:05 PM
ContactsAuthorizing OfficialUpdateChange RequestCamacho-Craft, Michael Assistant Deputy Director County of Santa Barbara 8058966705Hurtado, Paola Assistant Deputy Director PCFH Santa Barbara County Public Health Dept 80568154234/10/2023 9:33 AM
DetailsLast Recertification DateUpdateRecertification2/3/2022 11:35:55 AM2/1/2023 6:27:07 PM2/1/2023 6:27 PM
ContactsPrimary ContactUpdateChange RequestCobian, Miguel Pharmacy Director Santa Barbara County Health Care 8056815164Cumber, Jessica Interim Pharmacy Director Santa Barbara County Public Health Dept 80568140171/26/2023 7:11 PM
ContactsAuthorizing OfficialUpdateChange RequestGamble, Dana Deputy Director County of Santa Barbara 8056815171Camacho-Craft, Michael Assistant Deputy Director County of Santa Barbara 805896670511/13/2022 6:24 PM
ContactsPrimary ContactUpdateGroup Change RequestMillage, Carol Pharmacy Director County of Santa Barbara 8056815164Cobian, Miguel Pharmacy Director Santa Barbara County Health Care 80568151644/27/2022 1:06 PM
ContactsAuthorizing OfficialUpdateProfile Change RequestGamble, Dana Assistant Deputy Director County of Santa Barbara 8056815171Gamble, Dana Deputy Director County of Santa Barbara 80568151712/8/2022 10:15 AM
DetailsLast Recertification DateUpdateRecertification2/8/2021 5:00:16 PM2/3/2022 11:35:55 AM2/3/2022 11:35 AM
Medicaid BillingMedicaid: Is PrimaryInsertChange Request False6/28/2021 8:34 AM
Medicaid BillingMedicaid: NumberInsertChange Request FHC70022F6/28/2021 8:34 AM
Medicaid BillingMedicaid: StateInsertChange Request CA6/28/2021 8:34 AM
Medicaid BillingMedicaid: NumberDeleteChange RequestFHC70022 (CA) 6/28/2021 8:34 AM
Medicaid BillingNPI: StateUpdateRecertification CA2/8/2021 5:00 PM
Medicaid BillingNPI: StateUpdateRecertification CA2/8/2021 5:00 PM
Medicaid BillingNPI: StateUpdateRecertification CA2/8/2021 5:00 PM
Medicaid BillingNPI: StateUpdateRecertification CA2/8/2021 5:00 PM
DetailsLast Recertification DateUpdateRecertification2/7/2020 7:22:53 PM2/8/2021 5:00:16 PM2/8/2021 5:00 PM
DetailsLast Recertification DateUpdateRecertification2/16/2019 6:11:49 PM2/7/2020 7:22:53 PM2/7/2020 7:22 PM
Medicaid BillingMedicaid: Is PrimaryInsertChange Request False9/11/2019 5:10 PM
Medicaid BillingMedicaid: NumberInsertChange Request PHB4547709/11/2019 5:10 PM
Medicaid BillingMedicaid: StateInsertChange Request CA9/11/2019 5:10 PM
Medicaid BillingMedicaid: Is PrimaryInsertChange Request False9/11/2019 5:10 PM
Medicaid BillingMedicaid: NumberInsertChange Request PHA4671309/11/2019 5:10 PM
Medicaid BillingMedicaid: StateInsertChange Request CA9/11/2019 5:10 PM
Medicaid BillingNPI: NumberInsertChange Request 12453377739/11/2019 5:10 PM
Medicaid BillingNPI: NumberInsertChange Request 19523249809/11/2019 5:10 PM
DetailsLast Recertification DateUpdateRecertification2/14/2018 1:14:36 PM2/16/2019 6:11:49 PM2/16/2019 6:11 PM
ContactsAuthorizing OfficialUpdateChange RequestGamble, Dana Asst. Deputy Director Santa Barbara County Public Health Department 8056815171Gamble, Dana Assistant Deputy Director County of Santa Barbara 80568151713/7/2018 8:24 AM
DetailsLast Recertification DateUpdateRecertification2/15/2017 12:00:00 AM2/14/2018 1:14:36 PM2/14/2018 1:14 PM
ContactsPrimary ContactUpdate Millage, Carol Pharmacy Director 8056815164Millage, Carol Pharmacy Director County of Santa Barbara 80568151649/19/2017 6:50 PM
ContactsAuthorizing OfficialUpdate Gamble, Dana Asst. Deputy Director 8056815171Gamble, Dana Asst. Deputy Director Santa Barbara County Public Health Department 80568151719/19/2017 6:40 PM
AddressesMain AddressInsert   345 Camino del Remedio SANTA BARBARA, CA 93110-13322/16/2017 6:41 PM
ContactsPrimary ContactInsert  Millage, Carol Pharmacy Director 80568151642/16/2017 6:41 PM
ContactsAuthorizing OfficialUpdate SNYDER, ELIZABETH CEO 8056815252Gamble, Dana Asst. Deputy Director 80568151712/16/2017 6:41 PM
Medicaid BillingMedicaid: Is PrimaryUpdate TrueFalse2/16/2017 6:41 PM
DetailsLast Recertification DateUpdate 2/23/2016 12:00:00 AM2/15/2017 12:00:00 AM2/16/2017 6:41 PM
DetailsLast Recertification DateUpdate 2/12/2015 12:00:00 AM2/23/2016 12:00:00 AM2/23/2016 7:54 AM
Medicaid BillingMedicaid: Is PrimaryInsert  False2/12/2015 10:48 AM
Medicaid BillingMedicaid: NumberInsert  FHC700222/12/2015 10:48 AM
Medicaid BillingMedicaid: StateInsert  CA2/12/2015 10:48 AM
Medicaid BillingNPI: NumberInsert  12059517382/12/2015 10:48 AM
DetailsLast Recertification DateUpdate 3/13/2014 12:00:00 AM2/12/2015 12:00:00 AM2/12/2015 10:48 AM
DetailsLast Recertification DateUpdate 4/1/2013 12:00:00 AM3/13/2014 12:00:00 AM3/13/2014 11:26 AM
DetailsLast Recertification DateUpdate  4/1/2013 12:00:00 AM2/20/2013 8:44 AM
ContactsAuthorizing OfficialInsert  SNYDER, ELIZABETH CEO 80568152527/17/2012 2:46 PM
DetailsEntity SubnameUpdate COMMUNITY HEALTH CLINIC PHARMACYSanta Barbara Health Care Center7/17/2012 2:46 PM
DetailsLast Recertification DateInsert   7/22/2009 10:09 AM
DetailsGrant NumberInsert  H80CS000467/22/2009 10:09 AM
Details340B IDInsert  CH0908307/22/2009 10:09 AM
DetailsIs Authorizing Official EHB DataInsert   7/22/2009 10:09 AM
DatesLast Date That 340B Drugs PurchasedInsert   7/22/2009 10:09 AM
DetailsMedicare Provider NumberInsert   7/22/2009 10:09 AM
DetailsEntity NameInsert  SANTA BARBARA COUNTY HEALTH CARE7/22/2009 10:09 AM
DetailsProgram CodeInsert  CH7/22/2009 10:09 AM
DetailsEntity SubnameInsert  COMMUNITY HEALTH CLINIC PHARMACY7/22/2009 10:09 AM
DatesParticipating Approval DateInsert  4/28/2005 12:00:00 AM7/22/2009 10:09 AM
DetailsStateInsert  Active7/22/2009 10:09 AM
DatesRegistration DateInsert  12/1/1992 12:00:00 AM7/22/2009 10:09 AM
DatesSigned By DateInsert   7/22/2009 10:09 AM
DatesStart DateInsert  12/1/1992 12:00:00 AM7/22/2009 10:09 AM
TerminationsTermination CommentsInsert   7/22/2009 10:09 AM
TerminationsTermination DateInsert   7/22/2009 10:09 AM
TerminationsTermination Effective DateInsert   7/22/2009 10:09 AM
TerminationsTermination ReasonInsert   7/22/2009 10:09 AM
DetailsComments PublicInsert  3/26/05 - ADMIN CORRECTION REPLACES HO090830, 4/28/05 - ADDED ADDR HEADER, 1/10/06 - NEW CONTACT7/22/2009 10:09 AM
Medicaid BillingMedicaid: Is PrimaryInsert  True12/1/1992 12:00 AM
Medicaid BillingMedicaid: NumberInsert  PHA46381012/1/1992 12:00 AM
Medicaid BillingMedicaid: StateInsert  CA12/1/1992 12:00 AM
Medicaid BillingNPI: NumberInsert  188178633312/1/1992 12:00 AM