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CH09107K SF COMMUNITY CLINIC CONSORTIUM (Terminated)
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Main Details
Name
SF COMMUNITY CLINIC CONSORTIUM
Subdivision Name
FAMILY HEALTH CENTER - WARDS 81, 85
Type
HRSA-Funded Health Center
Site ID
BPS-H80-001366
340B ID
CH09107K
Grant Number
H80CS00049
Additional Details
Current Program Status
Terminated
Registration Date
4/1/2003
Participating Start Date
4/1/2003
Participating Approval Date
3/23/2004
Last Recertification Date
2/13/2017
Termination Date
Termination Reason
7/1/2017
DSH percentage below statutory minimum
Contacts
Authorizing Official
ZSFG
Susan Ehrlich, CEO
(628) 206-8118
Primary Contact
ZSFG
David Woods, Chief Pharmacy Officer
(628) 206-2332
Addresses
Street Address
995 POTRERO AVE, BLDG 80
SAN FRANCISCO, CA 94110
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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CORRECTED ENTITY NAME
03/23/2004
April 2025
April 2025
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