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FQHCLA81 NORTHEAST COMMUNITY CLINIC (Terminated)
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Main Details
Name
NORTHEAST COMMUNITY CLINIC
Subdivision Name
Type
Health Center Program Look-Alike
Site ID
ADMIN ONLY
340B ID
FQHCLA81
Grant Number
LALCS00033
Additional Details
Current Program Status
Terminated
Registration Date
10/1/2004
Participating Start Date
4/1/2011
Participating Approval Date
3/31/2011
Last Recertification Date
2/21/2017
Termination Date
Termination Reason
7/1/2017
Site closure
Contacts
Authorizing Official
Northeast Community Clinic
CHRISTOPHER LAU, EXECUTIVE DIRECTOR
(626) 457-6900
Primary Contact
Northeast Community Clinic
Bernardo Carrillo, OPERATIONS DIRECTOR
(626) 457-6900
Addresses
Street Address
2550 W MAIN STREET, SUITE 301
ALHAMBRA, CA 91801
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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3/31/11 PARTICIPATION TERMINATED (IN ERROR) EFFECTIVE 1/1/10 THRU 3/31/11
10/01/2004
April 2025
April 2025
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