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CH09039M CLINICA SIERRA VISTA (Active)
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Main Details
Name
CLINICA SIERRA VISTA
Subdivision Name
CLINICA SIERRA VISTA - 34th Street Community Health Center
Type
HRSA-Funded Health Center
Site ID
BPS-H80-011283
340B ID
CH09039M
Grant Number
H80CS00540
Additional Details
Current Program Status
Active
Registration Date
1/1/2004
Participating Start Date
1/1/2004
Participating Approval Date
12/13/2003
Last Recertification Date
3/3/2025
Contacts
Authorizing Official
Clinica Sierra Vista
Dixit Bhakta, Director of Pharmacy
(661) 779-3118
Primary Contact
Clinica Sierra Vista
Diane Marin-Gonzalez, 340B Analyst
(954) 686-5823
Addresses
Street Address
2000 Physicians Blvd
Bakersfield, CA 93301
Billing Address
Clinica Sierra Vista
1430 Truxtun Ave, STE 400
PO BOX 1559
Bakersfield, CA 93301
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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4/13/12 - Changed main address from 3550 Q STREET, SUITES 202 AND 304 and billing address from 1430 Truxtun Ave, Suite 400.
04/13/2012
May 2025
May 2025
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