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CH09288G Lifelong Medical Care (Active)
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Main Details
Name
Lifelong Medical Care
Subdivision Name
LifeLong Medical Care - Downtown Oakland Clinic
Type
HRSA-Funded Health Center
Site ID
BPS-H80-004692
340B ID
CH09288G
Grant Number
H80CS00808
Additional Details
Current Program Status
Active
Registration Date
8/22/2005
Participating Start Date
9/9/2005
Participating Approval Date
8/22/2005
Last Recertification Date
2/14/2025
Contacts
Authorizing Official
Lifelong Medical Care
Cecilia Aviles, Chief Executive Officer
(415) 812-1585
Primary Contact
Lifelong Medical Care
Ka Tung Hui, Pharmacy director
(510) 981-3248
Addresses
Street Address
616 16th St
Oakland, CA 94612-1205
Billing Address
LIFELONG MEDICAL CARE
PO BOX 11247
BERKELEY, CA 94712-2247
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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5/4/07 - UPDATED ADDRESS (WAS 600-610 16TH STREET)
05/04/2007
April 2025
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