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CH09071L COMMUNITY HEALTH CENTERS OF THE CENTRAL COAST, INC. (Active)
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Main Details
Name
COMMUNITY HEALTH CENTERS OF THE CENTRAL COAST, INC.
Subdivision Name
COMMUNITY HEALTH CENTERS GUADALUPE
Type
HRSA-Funded Health Center
Site ID
BPS-H80-019432
340B ID
CH09071L
Grant Number
H80CS00621
Additional Details
Current Program Status
Active
Registration Date
1/1/2004
Participating Start Date
1/1/2004
Participating Approval Date
12/12/2003
Last Recertification Date
2/11/2025
Contacts
Authorizing Official
community health centers of the central coast, inc
RONALD E. CASTLE, CEO
(805) 459-1835
Primary Contact
Community Health Centers of the Central Coast, Inc.
Derek Yip, 340B Director
(805) 346-3923
Addresses
Street Address
4723 W MAIN ST, STE H.
GUADALUPE, CA 93434
Billing Address
COMMUNITY HEALTH CENTERS OF THE CENTRAL COAST, INC.
150 TEJAS PLACE
NIPOMO, CA 93444-9123
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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NEW SITE - 01/01/2004 - HAS CP ARRANGEMENT
01/01/2004
May 2025
May 2025
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