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CH091037A ST. JOHN'S COMMUNITY HEALTH (Active)
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Main Details
Name
ST. JOHN'S COMMUNITY HEALTH
Subdivision Name
SJCH COMPTON CLINIC
Type
HRSA-Funded Health Center
Site ID
BPS-H80-003589
340B ID
CH091037A
Grant Number
H80CS00873
Additional Details
Current Program Status
Active
Registration Date
4/1/2005
Participating Start Date
4/1/2005
Participating Approval Date
3/8/2005
Last Recertification Date
2/10/2025
Contacts
Authorizing Official
St. John's Community Health
James Mangia, CEO
(323) 541-1600 Ext: 4000
Primary Contact
St. John Community Center
Peter Nabil Tawfik, Chief of Pharmacy Officer
(615) 957-8115
Addresses
Street Address
2115 N Wilmington Ave
Compton, CA 90222-2030
Billing Address
ST. JOHN'S COMMUNITY HEALTH
808 W. 58th St
Los Angeles, CA 90037
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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