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CH09311BT ALTAMED HEALTH SERVICES CORPORATION (Active)
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Main Details
Name
ALTAMED HEALTH SERVICES CORPORATION
Subdivision Name
AltaMed - Vacco
Type
HRSA-Funded Health Center
Site ID
BPS-H80-038311
340B ID
CH09311BT
Grant Number
H80CS00142
Additional Details
Current Program Status
Active
Registration Date
3/6/2024
Participating Start Date
4/1/2024
Participating Approval Date
3/11/2024
Last Recertification Date
2/11/2025
Contacts
Authorizing Official
AltaMed Health Services Corporation
Jose Esparza, Sr. VP, Finance & CFO
(323) 889-7320
Primary Contact
AltaMed Health Services Corporation
Israel Espinoza, Care Management Coordinator
(323) 889-7886
Addresses
Street Address
10408 Vacco St
South El Monte, CA 91733-3328
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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