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CH0911100 SAN DIEGO FAMILY CARE (Active)
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Main Details
Name
SAN DIEGO FAMILY CARE
Subdivision Name
LINDA VISTA HEALTH CARE CENTER
Type
HRSA-Funded Health Center
Site ID
BPS-H80-001228
340B ID
CH0911100
Grant Number
H80CS02319
Additional Details
Current Program Status
Active
Registration Date
4/1/1996
Participating Start Date
4/1/1996
Participating Approval Date
10/4/2004
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
6973 Linda Vista Rd
San Diego, CA 92111-6342
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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ADMIN CORRECTION - REPLACES FQ109
10/04/2004
April 2025
April 2025
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