340B Drug Pricing Program Database


CHC266170-16 VIA CARE COMMUNITY HEALTH CENTER (Active) - information as of 6/15/2025 6:09:48 AM

Main Details
VIA CARE COMMUNITY HEALTH CENTER
Via Care Bellflower Health Center
HRSA-Funded Health Center
BPS-H80-036672
CHC266170-16
H80CS26617


Additional Details
Active
7/13/2023
10/1/2023
7/25/2023
2/13/2025

Contacts

Via Care Community Health Center
Nina Falcetti, Director of HR
(323) 268-9191 Ext: 1091

Via Care Community Health Center
Mahsa Female Dadkhah, Pharmacy Director
(323) 268-9191 Ext: 1043

Addresses

10230 Artesia Blvd
211
Bellflower, CA 90706-6720

Via Care
3601 E. 1st Street
Los Angeles, CA 90063


  • Comments
  • Medicaid Billing
  • Shipping Addresses
  • Contract Pharmacies
  • Grantee Sites
  • Grantee Sites Contract Pharmacies
  • History
Comments
CommentLast Updated On 
No records to display.
Medicaid Billing

Yes
Shipping Addresses

Same as Street Address
Grantee Sites
340B ID 340B StatusSiteIdNameSub NameAddressAddress Cont.CityState
CHC266170-00ActiveBPS-H80-013239Via Care Community Health Center, INC.Via Care 507 Community Health Center507 S. Atlantic Blvd. Los AngelesCA
CHC266170-01ActiveBPS-H80-013257Via Care Community Health CenterVia Care Garfield Wellness Center501 S Woods Ave Los AngelesCA
CHC266170-02ActiveBPS-H80-015531VIA CARE COMMUNITY HEALTH CENTERVIA CARE CHAVEZ COMMUNITY HEALTH CENTER4755 E. Caesar Chavez Avenue Los AngelesCA
CHC266170-03ActiveBPS-H80-018402VIA CARE COMMUNITY HEALTH CENTER, INC.Via Care Whittier Boulevard Health Center5015 Whittier Blvd. Los AngelesCA
CHC266170-04ActiveBPS-H80-018780VIA CARE COMMUNITY HEALTH CENTER, INC.Via Care Primary 607607 S. Atlantic Blvd. Los AngelesCA
CHC266170-05ActiveBPS-H80-027124Via Care Community Health Center, Inc.Via Care Chronic Disease Care Clinic615 S Atlantic Blvd Los AngelesCA
CHC266170-06ActiveBPS-H80-029409Via Care Community Health Center, Inc.Via Care ELAC Health Center1301 Avenida Cesar Chavez Ste F5-302 Monterey ParkCA
CHC266170-07ActiveBPS-H80-027434Via Care Community Health Center, Inc.Via Care Whittier Dental Clinic5017 Whittier Blvd Los AngelesCA
CHC266170-08ActiveBPS-H80-032000Via Care Community Health Center, Inc.Via Care Tweedy Health Center4476 Tweedy Blvd Ste B South GateCA
CHC266170-09ActiveBPS-H80-032667Via Care Community Health Center, Inc.Via Care Los Angeles Trade Tech College400 W Washington Blvd Ste D3-107A Los AngelesCA
CHC266170-10TerminatedBPS-H80-024883Via Care Community Health Center, Inc.Via Care 280 Health Center280 S Atlantic Blvd East Los AngelesCA
CHC266170-11ApprovedBPS-H80-033555VIA CARE COMMUNITY HEALTH CENTERVia Care 284 Family Health Center284 S Atlantic Blvd Los AngelesCA
CHC266170-12ActiveBPS-H80-033588Via Care Community Health Center, Inc.Via Care West LA College9000 Overland Ave Culver CityCA
CHC266170-13ActiveBPS-H80-033904Via Care Community Health Center, Inc.Via Care Rio Hondo College3600 Workman Mill Rd WhittierCA
CHC266170-14ActiveBPS-H80-021042VIA CARE COMMUNITY HEALTH CENTER501 Supportive Services Center501 S Atlantic Blvd Los AngelesCA
CHC266170-15ActiveBPS-H80-036059VIA CARE COMMUNITY HEALTH CENTERVia Care 609 Annex609 S. Atlantic Blvd. Los AngelesCA
CHC266170-16ActiveBPS-H80-036672VIA CARE COMMUNITY HEALTH CENTERVia Care Bellflower Health Center10230 Artesia Blvd BellflowerCA
CHC266170-17ActiveBPS-H80-037619VIA CARE COMMUNITY HEALTH CENTERVia Care Valley Community College5800 Fulton Ave Valley GlenCA
Grantee Sites Contract Pharmacies
340B IDPharmacy NameAddressAddress Cont.CityStateZip CodeBegin DateCarve-In Effective DateTermination Date
CHC266170-00ACARIAHEALTH PHARMACY #13, INC3302 GARFIELD AVE.
COMMERCECA90040-310204/01/2018 12/31/2024
CHC266170-03ACARIAHEALTH PHARMACY #13, INC3302 GARFIELD AVE.
COMMERCECA90040-310204/01/2018 01/01/2025
CHC266170-04ACARIAHEALTH PHARMACY #13, INC3302 GARFIELD AVE.
COMMERCECA90040-310204/01/2018 01/01/2025
CHC266170-02ACARIAHEALTH PHARMACY #13, INC3302 GARFIELD AVE.
COMMERCECA90040-310204/01/2018 01/01/2025
CHC266170-01ACARIAHEALTH PHARMACY #13, INC3302 GARFIELD AVE.
COMMERCECA90040-310204/01/2018 01/01/2025
CHC266170-06ACARIAHEALTH PHARMACY #13, INC3302 GARFIELD AVE.
COMMERCECA90040-310201/01/2020 01/01/2025
CHC266170-07ACARIAHEALTH PHARMACY #13, INC3302 GARFIELD AVE.
COMMERCECA90040-310201/01/2020 01/01/2025
CHC266170-05ACARIAHEALTH PHARMACY #13, INC3302 GARFIELD AVE.
COMMERCECA90040-310204/01/2020 01/01/2025
CHC266170-00ATLANTIC PHARMACY  5119 E. BEVERLY BLVD.
LOS ANGELESCA90022-173407/01/2016  
CHC266170-01ATLANTIC PHARMACY  5119 E. BEVERLY BLVD.
LOS ANGELESCA90022-173407/01/2016  
CHC266170-02ATLANTIC PHARMACY  5119 E. BEVERLY BLVD.
LOS ANGELESCA90022-173410/01/2017  
CHC266170-03ATLANTIC PHARMACY  5119 E. BEVERLY BLVD.
LOS ANGELESCA90022-173410/01/2017  
CHC266170-04ATLANTIC PHARMACY  5119 E. BEVERLY BLVD.
LOS ANGELESCA90022-173404/01/2017  
CHC266170-06ATLANTIC PHARMACY  5119 E. BEVERLY BLVD.
LOS ANGELESCA90022-173401/01/2020  
CHC266170-07ATLANTIC PHARMACY  5119 E. BEVERLY BLVD.
LOS ANGELESCA90022-173401/01/2020  
CHC266170-05ATLANTIC PHARMACY  5119 E. BEVERLY BLVD.
LOS ANGELESCA90022-173404/01/2020  
CHC266170-00CAREMARK ILLINOIS SPECIALTY PHARMACY, LLDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 800 BIERMANN CT STE B
MOUNT PROSPECTIL6005607/01/2020  
CHC266170-00CAREMARK, L.L.C.DBA CVS/SPECIALTY OR CARELONRX SPECIALTY 1127 BRYN MAWR AVE
SUITE A 		REDLANDSCA9237407/01/2020  
CHC266170-04COUNTY OF LOS ANGELES - AUDITOR CONTROLL313 N FIGUEROA ST STE 1225 HEALTH SERVICES CENTRAL PHARMACY
LOS ANGELESCA90012-260204/01/2017  
CHC266170-06COUNTY OF LOS ANGELES - AUDITOR CONTROLL313 N FIGUEROA ST STE 1225 HEALTH SERVICES CENTRAL PHARMACY
LOS ANGELESCA90012-260201/01/2020  
CHC266170-07COUNTY OF LOS ANGELES - AUDITOR CONTROLL313 N FIGUEROA ST STE 1225 HEALTH SERVICES CENTRAL PHARMACY
LOS ANGELESCA90012-260201/01/2020  
CHC266170-05COUNTY OF LOS ANGELES - AUDITOR CONTROLL313 N FIGUEROA ST STE 1225 HEALTH SERVICES CENTRAL PHARMACY
LOS ANGELESCA90012-260204/01/2020  
CHC266170-00EAST L.A. PHARMACY, CORP.4968 WHITTIER BLVD.
LOS ANGELESCA9002210/01/2017 12/31/2019
CHC266170-01EAST L.A. PHARMACY, CORP.4968 WHITTIER BLVD.
LOS ANGELESCA9002210/01/2017 12/31/2019
CHC266170-02EAST L.A. PHARMACY, CORP.4968 WHITTIER BLVD.
LOS ANGELESCA9002210/01/2017 12/31/2019
CHC266170-03EAST L.A. PHARMACY, CORP.4968 WHITTIER BLVD.
LOS ANGELESCA9002210/01/2017 12/31/2019
CHC266170-04EAST L.A. PHARMACY, CORP.4968 WHITTIER BLVD.
LOS ANGELESCA9002210/01/2017 12/31/2019
CHC266170-06EAST L.A. PHARMACY, CORP.4968 WHITTIER BLVD.
LOS ANGELESCA9002201/01/2020 12/31/2019
CHC266170-07EAST L.A. PHARMACY, CORP.4968 WHITTIER BLVD.
LOS ANGELESCA9002201/01/2020 12/31/2019
CHC266170-00GARFIELD BEACH CVS, L.L.C.DBA CVS/PHARMACY # 4524 5176 E. WHITTIER BLVD.
LOS ANGELESCA9002207/01/2020  
CHC266170-00GARFIELD BEACH CVS, L.L.C.DBA: CVS/PHARMACY # 09617 2103 SOUTH ATLANTIC BOULEVARD
MONTEREY PARKCA9175407/01/2020  
CHC266170-00GARFIELD BEACH CVS, L.L.C.CVS PHARMACY # 16043 5600 WHITTIER BLVD
COMMERCECA9002207/01/2020  
CHC266170-00GARFIELD BEACH CVS, L.L.C.DBA: CVS/PHARMACY # 04792 15232 SHERMAN WAY
VAN NUYSCA9140507/01/2020  
CHC266170-00GARFIELD BEACH CVS, L.L.C.DBA CVS/PHARMACY #10509 3627 EAST CESAR EAST CHAVEZ AVENUE
LOS ANGELESCA9006307/01/2020  
CHC266170-00GARFIELD BEACH CVS, L.L.C.DBA: CVS/PHARMACY # 09122 700 S. GAFFEY ST.
SAN PEDROCA9073107/01/2020  
CHC266170-00GARFIELD BEACH CVS, L.L.C.DBA: CVS/PHARMACY # 09857 800 W. WHITTIER BLVD.
MONTEBELLOCA9064007/01/2020  
CHC266170-00GARFIELD BEACH CVS, L.L.C.DBA: CVS/PHARMACY # 08892 5822 SOUTH VERMONT AVENUE
LOS ANGELESCA9004407/01/2020  
CHC266170-00GARFIELD BEACH CVS, L.L.C.DBA: CVS/PHARMACY # 09625 9089 WOODMAN AVE.
ARLETACA9133107/01/2020  
CHC266170-00GARFIELD BEACH CVS, L.L.C.DBA CVS/PHARMACY #4019 5837 S. CENTRAL AVE.
LOS ANGELESCA9000107/01/2020  
CHC266170-00GARFIELD BEACH CVS, L.L.C.DBA: CVS/PHARMACY # 09757 2525 VIA CAMPO ST.
MONTEBELLOCA9064007/01/2020  
CHC266170-00GARFIELD BEACH CVS, L.L.C.DBA: CVS/PHARMACY # 01176 25829 NARBONNE AVE.
LOMITACA9071707/01/2020 05/14/2024
CHC266170-00GARFIELD BEACH CVS, L.L.C.DBA: CVS/PHARMACY # 08875 3644 EAST OLYMPIC BOULEVARD
LOS ANGELESCA9002307/01/2020  
CHC266170-00GARFIELD BEACH CVS, L.L.C.DBA: CVS/PHARMACY # 04789 10945 VICTORY BOULEVARD
NORTH. HOLLYWOODCA9160607/01/2020  
CHC266170-00GARFIELD BEACH CVS, L.L.C.DBA: CVS/PHARMACY # 03986 8400 FIRESTONE BLVD.
DOWNEYCA9024107/01/2021 05/16/2023
CHC266170-00GARFIELD BEACH CVS, L.L.C.DBA: CVS/PHARMACY # 08853 1645 EAST 103RD STREET
LOS ANGELESCA9000207/01/2021  
CHC266170-00GARFIELD BEACH CVS, L.L.C.DBA: CVS/PHARMACY # 08858 7101 ATLANTIC AVENUE
BELLCA9020107/01/2021  
CHC266170-00GARFIELD BEACH CVS, L.L.C.DBA: CVS/PHARMACY # 09504 8008 FIRESTONE BOULEVARD
DOWNEYCA9024107/01/2021  
CHC266170-00GARFIELD BEACH CVS, L.L.C.DBA: CVS/PHARMACY # 09507 650 EAST EL SEGUNDO BOULEVARD
LOS ANGELESCA9005907/01/2021  
CHC266170-00GARFIELD BEACH CVS, L.L.C.DBA CVS/PHARMACY #11073 3208 EAST FLORENCE AVENUE
HUNTINGTON PARKCA9025507/01/2021  
CHC266170-00GARFIELD BEACH CVS, L.L.C.CVS PHARMACY # 17481 6750 CHERRY AVE
LONG BEACHCA9080507/01/2021  
CHC266170-00GARFIELD BEACH CVS, L.L.C.DBA: CVS/PHARMACY # 08867 7915 FLORENCE AVENUE
DOWNEYCA9024007/01/2021  
CHC266170-00GARFIELD BEACH CVS, L.L.C.DBA: CVS/PHARMACY # 08898 7300 S ALAMEDA ST
WALNUT PARKCA9025507/01/2021  
CHC266170-00GARFIELD BEACH CVS, L.L.C.DBA: CVS/PHARMACY # 09123 3800 MARTIN LUTHER KING JR. BOULEVARD
LYNWOODCA9026207/01/2021  
CHC266170-00GARFIELD BEACH CVS, L.L.C.DBA: CVS/PHARMACY # 09495 220 EAST COMPTON BOULEVARD
COMPTONCA9022007/01/2021  
CHC266170-00GARFIELD BEACH CVS, L.L.C.DBA: CVS/PHARMACY # 09501 2655 SANTA ANA STREET
SOUTH GATECA9028007/01/2021  
CHC266170-00GARFIELD BEACH CVS, L.L.C.DBA: CVS/PHARMACY # 08835 3710 TWEEDY BOULEVARD
SOUTH GATECA9028007/01/2021  
CHC266170-00GARFIELD BEACH CVS, L.L.C.DBA: CVS/PHARMACY # 09594 901 S. CENTRAL AVENUE
COMPTONCA9022007/01/2021  
CHC266170-00GARFIELD BEACH CVS, L.L.C.CVS PHARMACY # 16044 5700 FIRESTONE BLVD
SOUTH GATECA9028007/01/2021  
CHC266170-00GARFIELD BEACH CVS, L.L.C.DBA: CVS/PHARMACY # 09596 5960 PACIFIC BOULEVARD
HUNTINGTON PARKCA9025507/01/2021  
CHC266170-00GARFIELD BEACH CVS, L.L.C.CVS PHARMACY # 17349 1621 S ALAMEDA ST
COMPTONCA9022007/01/2021  
CHC266170-00GARFIELD BEACH CVS, L.L.C.DBA: CVS/PHARMACY # 08870 8859 ALONDRA BLVD.
PARAMOUNTCA9072307/01/2021  
CHC266170-00GARFIELD BEACH CVS, L.L.C.DBA: CVS/PHARMACY # 09543 2001 PACIFIC COAST HIGHWAY
LOMITACA9071710/01/2024  
CHC266170-00GRACE CARE PHARMACY3414 W BEVERLY BLVD
MONTEBELLOCA9064007/01/2020 01/01/2022
CHC266170-00LOS ANGELES COUNTY HEALTH SERVICES CENTRAL PHARMACY313 N FIGUEROA STREET SUITE 1225
LOS ANGELESCA9001207/01/2015  
CHC266170-01LOS ANGELES COUNTY HEALTH SERVICES CENTRAL PHARMACY313 N FIGUEROA STREET SUITE 1225
LOS ANGELESCA9001210/01/2016  
CHC266170-02LOS ANGELES COUNTY HEALTH SERVICES CENTRAL PHARMACY313 N FIGUEROA STREET SUITE 1225
LOS ANGELESCA9001204/01/2018  
CHC266170-04LOS ANGELES COUNTY HEALTH SERVICES CENTRAL PHARMACY313 N FIGUEROA STREET SUITE 1225
LOS ANGELESCA9001204/01/2018  
CHC266170-03LOS ANGELES COUNTY HEALTH SERVICES CENTRAL PHARMACY313 N FIGUEROA STREET SUITE 1225
LOS ANGELESCA9001204/01/2018  
CHC266170-05LOS ANGELES COUNTY HEALTH SERVICES CENTRAL PHARMACY313 N FIGUEROA STREET SUITE 1225
LOS ANGELESCA9001210/01/2019  
CHC266170-06LOS ANGELES COUNTY HEALTH SERVICES CENTRAL PHARMACY313 N FIGUEROA STREET SUITE 1225
LOS ANGELESCA9001201/01/2020  
CHC266170-07LOS ANGELES COUNTY HEALTH SERVICES CENTRAL PHARMACY313 N FIGUEROA STREET SUITE 1225
LOS ANGELESCA9001201/01/2020  
CHC266170-00ORANGE EXPRESS PHARMACYGNB SERVICES INC 1233 N TUSTIN ST
ORANGECA92867-514710/01/2017 04/02/2019
CHC266170-01ORANGE EXPRESS PHARMACYGNB SERVICES INC 1233 N TUSTIN ST
ORANGECA92867-514710/01/2017 04/02/2019
CHC266170-02ORANGE EXPRESS PHARMACYGNB SERVICES INC 1233 N TUSTIN ST
ORANGECA92867-514710/01/2017 04/02/2019
CHC266170-03ORANGE EXPRESS PHARMACYGNB SERVICES INC 1233 N TUSTIN ST
ORANGECA92867-514710/01/2017  
CHC266170-04ORANGE EXPRESS PHARMACYGNB SERVICES INC 1233 N TUSTIN ST
ORANGECA92867-514710/01/2017 04/02/2019
CHC266170-00PROCARE PHARMACY DIRECT, L.L.C.DBA CVS/SPECIALTY OR CARELONRX SPECIALTY 105 MALL BOULEVARD
MONROEVILLEPA1514607/01/2020  
CHC266170-00RX E-FILL SOLUTIONS28341 CONSTELLATION RD
SANTA CLARITACA9135507/01/2016 12/31/2019
CHC266170-01RX E-FILL SOLUTIONSCARDINAL HEALTH PHARMACY SERVICES, LLC 27680 AVENUE MENTRY STE 100
VALENCIACA9135510/01/2016  
CHC266170-04RX E-FILL SOLUTIONS28341 CONSTELLATION RD
SANTA CLARITACA9135504/01/2017  
CHC266170-03RX E-FILL SOLUTIONS28341 CONSTELLATION RD
SANTA CLARITACA9135504/01/2018  
CHC266170-02RX E-FILL SOLUTIONS28341 CONSTELLATION RD
SANTA CLARITACA9135504/01/2018  
CHC266170-05RX E-FILL SOLUTIONSCARDINAL HEALTH PHARMACY SERVICES, LLC 27680 AVENUE MENTRY STE 100
VALENCIACA9135510/01/2019  
CHC266170-06RX E-FILL SOLUTIONSCARDINAL HEALTH PHARMACY SERVICES, LLC 27680 AVENUE MENTRY STE 100
VALENCIACA9135501/01/2020  
CHC266170-06RX E-FILL SOLUTIONS28341 CONSTELLATION RD
SANTA CLARITACA9135501/01/2020  
CHC266170-07RX E-FILL SOLUTIONS28341 CONSTELLATION RD
SANTA CLARITACA9135501/01/2020  
CHC266170-07RX E-FILL SOLUTIONSCARDINAL HEALTH PHARMACY SERVICES, LLC 27680 AVENUE MENTRY STE 100
VALENCIACA9135501/01/2020  
CHC266170-00RX E-FILL SOLUTIONSCARDINAL HEALTH PHARMACY SERVICES, LLC 27680 AVENUE MENTRY STE 100
VALENCIACA9135510/01/2020  
CHC266170-04US BIOSERVICESPHARM PLUS ACQUISITION, INC. 5100 E HUNTER AVE
SUITE 101 		ANAHEIMCA92807-204904/01/2018 12/31/2019
CHC266170-02US BIOSERVICESPHARM PLUS ACQUISITION, INC. 5100 E HUNTER AVE
SUITE 101 		ANAHEIMCA92807-204904/01/2018 12/31/2019
CHC266170-01US BIOSERVICESPHARM PLUS ACQUISITION, INC. 5100 E HUNTER AVE
SUITE 101 		ANAHEIMCA92807-204904/01/2018 12/31/2019
CHC266170-00US BIOSERVICESUS BIOSERVICE CORPORATION 5025 PLANO PARKWAY
STE 100 		CARROLLTONTX7501004/01/2018 12/31/2019
CHC266170-04US BIOSERVICESUS BIOSERVICE CORPORATION 5025 PLANO PARKWAY
STE 100 		CARROLLTONTX7501004/01/2018 12/31/2019
CHC266170-02US BIOSERVICESUS BIOSERVICE CORPORATION 5025 PLANO PARKWAY
STE 100 		CARROLLTONTX7501004/01/2018 12/31/2019
CHC266170-01US BIOSERVICESUS BIOSERVICE CORPORATION 5025 PLANO PARKWAY
STE 100 		CARROLLTONTX7501004/01/2018 12/31/2019
CHC266170-03US BIOSERVICESUS BIOSERVICE CORPORATION 5025 PLANO PARKWAY
STE 100 		CARROLLTONTX7501004/01/2018 12/31/2019
CHC266170-03US BIOSERVICESPHARM PLUS ACQUISITION, INC. 5100 E HUNTER AVE
SUITE 101 		ANAHEIMCA92807-204904/01/2018 12/31/2019
CHC266170-00US BIOSERVICESPHARM PLUS ACQUISITION, INC. 5100 E HUNTER AVE
SUITE 101 		ANAHEIMCA92807-204904/01/2018 12/31/2019
CHC266170-06US BIOSERVICESUS BIOSERVICE CORPORATION 5025 PLANO PARKWAY
STE 100 		CARROLLTONTX7501001/01/2020 12/31/2019
CHC266170-06US BIOSERVICESPHARM PLUS ACQUISITION, INC. 5100 E HUNTER AVE
SUITE 101 		ANAHEIMCA92807-204901/01/2020 12/31/2019
CHC266170-07US BIOSERVICESPHARM PLUS ACQUISITION, INC. 5100 E HUNTER AVE
SUITE 101 		ANAHEIMCA92807-204901/01/2020 12/31/2019
CHC266170-07US BIOSERVICESUS BIOSERVICE CORPORATION 5025 PLANO PARKWAY
STE 100 		CARROLLTONTX7501001/01/2020 12/31/2019
History
SectionFieldActionActivityValue BeforeValue AfterTimestamp 
DetailsLast Recertification DateUpdateRecertification2/28/2024 4:23:12 PM2/13/2025 1:10:23 PM2/13/2025 1:10 PM
AddressesMain AddressUpdateChange Request 10236 Artesia Blvd Bellflower, CA 90706-6720 10230 Artesia Blvd 211 Bellflower, CA 90706-672010/30/2024 2:07 PM
AddressesBilling AddressUpdateRecertificationVia Care 501 S Atlantic Blvd. Los Angeles, CA 90022Via Care 3601 E. 1st Street Los Angeles, CA 900632/28/2024 4:23 PM
DetailsLast Recertification DateUpdateRecertification 2/28/2024 4:23:12 PM2/28/2024 4:23 PM
ContactsAuthorizing OfficialUpdateAO Change RequestFalcetti, Nina CHRO Via Care Community Health Center 3232689191-1091Falcetti, Nina Director of HR Via Care Community Health Center 3232689191-10911/9/2024 3:55 PM
DetailsStateUpdate ApprovedActive10/1/2023 12:01 AM
ContactsSigned ByInsertNew Registration Falcetti, Nina CHRO Via Care Community Health Center 3232689191-10917/25/2023 8:44 AM
Details340B IDUpdateNew Registration CHC266170-167/25/2023 8:44 AM
DatesParticipating Approval DateUpdateNew Registration 7/25/2023 8:44:56 AM7/25/2023 8:44 AM
DetailsStateUpdateNew RegistrationPendingApproved7/25/2023 8:44 AM
DatesSigned By DateUpdateNew Registration 7/13/2023 1:49:56 PM7/25/2023 8:44 AM
DatesStart DateUpdateNew Registration 10/1/2023 12:00:00 AM7/25/2023 8:44 AM
AddressesMain AddressInsertNew Registration  10236 Artesia Blvd Bellflower, CA 90706-67207/13/2023 1:49 PM
AddressesBilling AddressInsertNew Registration Via Care 501 S Atlantic Blvd. Los Angeles, CA 900227/13/2023 1:49 PM
Medicaid BillingNPI: NumberInsertNew Registration 17308896687/13/2023 1:49 PM
Medicaid BillingNPI: StateInsertNew Registration CA7/13/2023 1:49 PM
ContactsPrimary ContactInsertNew Registration Dadkhah, Mahsa Female Pharmacy Director Via Care Community Health Center 3232689191-10437/13/2023 1:49 PM
ContactsAuthorizing OfficialInsertNew Registration Falcetti, Nina CHRO Via Care Community Health Center 3232689191-10917/13/2023 1:49 PM
DetailsAssistance Received From DateInsertNew Registration  7/13/2023 1:49 PM
DetailsAssistance Received To DateInsertNew Registration  7/13/2023 1:49 PM
DetailsLast Recertification DateInsertNew Registration  7/13/2023 1:49 PM
DetailsGrant NumberInsertNew Registration H80CS266177/13/2023 1:49 PM
Details340B IDInsertNew Registration  7/13/2023 1:49 PM
DetailsIs Authorizing Official EHB DataInsertNew Registration  7/13/2023 1:49 PM
DatesLast Date That 340B Drugs PurchasedInsertNew Registration  7/13/2023 1:49 PM
DetailsMedicare Provider NumberInsertNew Registration  7/13/2023 1:49 PM
DetailsEntity NameInsertNew Registration VIA CARE COMMUNITY HEALTH CENTER7/13/2023 1:49 PM
DetailsNOFO NumberInsertNew Registration  7/13/2023 1:49 PM
DetailsProgram CodeInsertNew Registration CH7/13/2023 1:49 PM
DetailsEntity SubnameInsertNew Registration Via Care Bellflower Health Center7/13/2023 1:49 PM
DatesParticipating Approval DateInsertNew Registration  7/13/2023 1:49 PM
DetailsStateInsertNew Registration Pending7/13/2023 1:49 PM
DatesRegistration DateInsertNew Registration 7/13/2023 1:49:52 PM7/13/2023 1:49 PM
DatesSigned By DateInsertNew Registration  7/13/2023 1:49 PM
DatesStart DateInsertNew Registration  7/13/2023 1:49 PM
TerminationsTermination CommentsInsertNew Registration  7/13/2023 1:49 PM
TerminationsTermination DateInsertNew Registration  7/13/2023 1:49 PM
TerminationsTermination Effective DateInsertNew Registration  7/13/2023 1:49 PM
TerminationsTermination ReasonInsertNew Registration  7/13/2023 1:49 PM