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CH09039V CLINICA SIERRA VISTA (Terminated)
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Main Details
Name
CLINICA SIERRA VISTA
Subdivision Name
NORTH OF THE RIVER COMM HLTH CTR
Type
HRSA-Funded Health Center
Site ID
bps-h80-001249
340B ID
CH09039V
Grant Number
H80CS00540
Additional Details
Current Program Status
Terminated
Registration Date
8/31/2005
Participating Start Date
9/9/2005
Participating Approval Date
8/31/2005
Last Recertification Date
2/20/2020
Termination Date
Termination Reason
4/1/2021
Site closure
Contacts
Authorizing Official
Clinica Sierra Vista
Stacy Lynn Ferreira, CEO
(661) 635-3050
Primary Contact
Clinica Sierra Vista
Nancy Banuelos, Deputy CEO
(661) 635-3050
Addresses
Street Address
2525 N Chester Ave
Bakersfield, CA 93308-1770
Billing Address
CLINICA SIERRA VISTA
1430 TRUXTUN AVENUE, SUITE 400
BAKERSFIELD, CA 93301
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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