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CH09311H ALTAMED HEALTH SERVICES CORPORATION (Terminated)
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Main Details
Name
ALTAMED HEALTH SERVICES CORPORATION
Subdivision Name
AltaMed Medical & Dental Group: BELL, Atlantic
Type
HRSA-Funded Health Center
Site ID
BPS-H80-001429
340B ID
CH09311H
Grant Number
H80CS00142
Additional Details
Current Program Status
Terminated
Registration Date
10/1/2003
Participating Start Date
10/1/2003
Participating Approval Date
4/29/2005
Last Recertification Date
2/9/2018
Termination Date
Termination Reason
4/1/2018
Site closure
Contacts
Authorizing Official
AltaMed Health Services Corporation
Jose Esparza, Sr. VP, Finance & CFO
(323) 889-7320
Primary Contact
AltaMed Health Services Corporation
Andrea Nunez, Pharmacy Project Coordinator
(323) 201-9787
Addresses
Street Address
6901 Atlantic Ave
Bell, CA 90201-3646
Billing Address
AltaMed Health Services Corporation
2040 Camfield Avenue
LOS ANGELES, CA 90040
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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NEW CONTACT INFO, ENTITY NAME CORRECTION, NEW BILL TO
08/12/2005
April 2025
April 2025
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