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CHC28995-14 UNICARE COMMUNITY HEALTH CENTER, INC (Active)
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Main Details
Name
UNICARE COMMUNITY HEALTH CENTER, INC
Subdivision Name
Unicare Community Health Center Kasota
Type
HRSA-Funded Health Center
Site ID
BPS-H80-036270
340B ID
CHC28995-14
Grant Number
H80CS28995
Additional Details
Current Program Status
Active
Registration Date
1/11/2024
Participating Start Date
4/1/2024
Participating Approval Date
1/16/2024
Last Recertification Date
2/12/2025
Contacts
Authorizing Official
Unicare Community Health Center
Avetik Machkalyan, CEO
(909) 623-3600
Primary Contact
Unicare Community Health Center
Kelly Hong Vo, Executive Vice President
(909) 988-2555
Addresses
Street Address
15863 Kasota Road
Apple Valley, CA 92307-4507
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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June 2025
June 2025
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