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CH09085AJ AMPLA HEALTH (Active)
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Main Details
Name
AMPLA HEALTH
Subdivision Name
Ampla Health North Plumas Medical
Type
HRSA-Funded Health Center
Site ID
BPS-H80-038076
340B ID
CH09085AJ
Grant Number
H80CS00765
Additional Details
Current Program Status
Active
Registration Date
4/3/2024
Participating Start Date
7/1/2024
Participating Approval Date
4/25/2024
Last Recertification Date
2/14/2025
Contacts
Authorizing Official
Ampla Health
Benjamin H. Flores, President & CEO
(530) 674-4261 Ext: 1155
Primary Contact
Ampla Health
Jessica Barber, Pharmacy Administrator
(530) 520-6042
Addresses
Street Address
1231 Plumas St
Yuba City, CA 95991-3410
Billing Address
Ampla Health
935 Market Street
Yuba City, CA 95991
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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