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CH09114E SAN MATEO MEDICAL CENTER (Terminated)
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Main Details
Name
SAN MATEO MEDICAL CENTER
Subdivision Name
SEQUOIA TEEN WELLNESS
Type
HRSA-Funded Health Center
Site ID
BPS-H80-000379
340B ID
CH09114E
Grant Number
H80CS00051
Additional Details
Current Program Status
Terminated
Registration Date
1/1/2005
Participating Start Date
1/1/2005
Participating Approval Date
11/19/2004
Last Recertification Date
2/5/2021
Termination Date
Termination Reason
4/1/2022
Hospital Outpatient facility no longer eligible
Contacts
Authorizing Official
San Mateo Medical Center
CHESTER J. KUNNAPPILLY, CEO
(650) 573-2305
Primary Contact
San Mateo Medical Center
Victor Armendariz, Director of Pharmacy
(650) 573-2366
Addresses
Street Address
630 LAUREL STREET
REDWOOD CITY, CA 94063
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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