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CH092440 CLINIC INC, THE (Active)
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Main Details
Name
CLINIC INC, THE
Subdivision Name
T.H.E. CLINIC, INC.
Type
HRSA-Funded Health Center
Site ID
BPS-H80-003094
340B ID
CH092440
Grant Number
H80CS00755
Additional Details
Current Program Status
Active
Registration Date
7/1/2003
Participating Start Date
7/1/2003
Participating Approval Date
7/1/2003
Last Recertification Date
2/20/2025
Contacts
Authorizing Official
T.H.E. Clinic INC
Clifford Shiepe, President and CEO
(323) 730-1920 Ext: 3053
Primary Contact
T.H.E. Clinic INC
Daniel Baum, Financial Analyst
(323) 730-1920 Ext: 3022
Addresses
Street Address
3834 S. WESTERN AVE
LOS ANGELES, CA 90062-1104
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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May 2025
May 2025
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