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CH091110A SAN DIEGO FAMILY CARE (Active)
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Main Details
Name
SAN DIEGO FAMILY CARE
Subdivision Name
MID-CITY COMMUNITY CLINIC
Type
HRSA-Funded Health Center
Site ID
BPS-H80-000368
340B ID
CH091110A
Grant Number
H80CS02319
Additional Details
Current Program Status
Active
Registration Date
1/1/2005
Participating Start Date
1/1/2005
Participating Approval Date
8/9/2005
Last Recertification Date
2/14/2025
Contacts
Authorizing Official
San Diego Family Care
ROBERTA L. FEINBERG, CHIEF EXECUTIVE OFFICER
(858) 279-9676
Primary Contact
San Diego Family Care
Manuel Horacio Quintanar, Chief Financial Officer
(858) 514-2958
Addresses
Street Address
4290 Polk Ave
San Diego, CA 92105-1524
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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NEW SITE 01/01/2005, CORRECTED ZIP CODE
08/09/2005
May 2025
May 2025
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