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CH09107B SF COMMUNITY CLINIC CONSORTIUM (Terminated)
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Main Details
Name
SF COMMUNITY CLINIC CONSORTIUM
Subdivision Name
ADULT MEDICINE CLINIC
Type
HRSA-Funded Health Center
Site ID
BPS-H80-004724
340B ID
CH09107B
Grant Number
H80CS00049
Additional Details
Current Program Status
Terminated
Registration Date
9/30/2005
Participating Start Date
9/30/2005
Participating Approval Date
9/30/2005
Last Recertification Date
2/13/2017
Termination Date
Termination Reason
7/1/2017
DSH percentage below statutory minimum
Contacts
Authorizing Official
ZSFG
Susan Ehrlich, CEO
(628) 206-8118
Primary Contact
ZSFG
David Woods, Chief Pharmacy Officer
(628) 206-2332
Addresses
Street Address
1001 POTRERO AVENUE, ROOM 1M
SAN FRANCISCO, CA 94110
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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