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CH09071S COMMUNITY HEALTH CENTERS OF THE CENTRAL COAST, INC. (Terminated)
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Main Details
Name
COMMUNITY HEALTH CENTERS OF THE CENTRAL COAST, INC.
Subdivision Name
COMMUNITY HEALTH CENTERS SAN LUIS OBISPO
Type
HRSA-Funded Health Center
Site ID
BPS-H80-003883
340B ID
CH09071S
Grant Number
H80CS00621
Additional Details
Current Program Status
Terminated
Registration Date
10/1/2004
Participating Start Date
10/1/2004
Participating Approval Date
9/17/2004
Last Recertification Date
2/12/2015
Termination Date
Termination Reason
4/1/2016
Site closure
Contacts
Authorizing Official
community health centers of the central coast, inc
RONALD E. CASTLE, CEO
(805) 459-1835
Primary Contact
Community Health Centers of Central Coast, Inc
Ada Yip, Director of 340B Program
(805) 346-3987
Addresses
Street Address
1551 BISHOP ST.
SAN LUIS OBISPO, CA 93401-4635
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 10/01/2004
08/12/2005
April 2025
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