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CH09025T CLINICAS DE SALUD DEL PUEBLO, INC (Active)
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Main Details
Name
CLINICAS DE SALUD DEL PUEBLO, INC
Subdivision Name
Innercare Brawley Dental
Type
HRSA-Funded Health Center
Site ID
BPS-H80-038588
340B ID
CH09025T
Grant Number
H80CS00733
Additional Details
Current Program Status
Active
Registration Date
7/8/2024
Participating Start Date
10/1/2024
Participating Approval Date
7/16/2024
Last Recertification Date
2/12/2025
Contacts
Authorizing Official
Clinicas de Salud del Pueblo, Inc.
YVONNE BELL, CEO
(760) 344-9951 Ext: 10102
Primary Contact
Clinicas De Salud Del Pueblo
Dan Kang, Pharmacy Director
(760) 344-6471 Ext: 14117
Addresses
Street Address
283 Main Street, Suite 102
Brawley, CA 92227
Billing Address
Clinicas de Salud del Pueblo, Inc.
852 E Danenberg Dr
El Centro, CA 92243-8511
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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