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CH09167C VISTA COMMUNITY CLINIC (Active)
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Main Details
Name
VISTA COMMUNITY CLINIC
Subdivision Name
VCC: GRAPEVINE
Type
HRSA-Funded Health Center
Site ID
BPS-H80-008480
340B ID
CH09167C
Grant Number
H80CS00282
Additional Details
Current Program Status
Active
Registration Date
12/29/2005
Participating Start Date
4/1/1996
Participating Approval Date
12/29/2005
Last Recertification Date
2/19/2025
Contacts
Authorizing Official
Vista Community Clinic
Michele Lambert, CFO
(760) 216-5803
Primary Contact
Vista Community Clinic
Debra debra.l.jones@vcc.org Jones, Accountant
(760) 631-5000 Ext: 8173
Addresses
Street Address
134 GRAPEVINE RD.
VISTA, CA 92083-4004
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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9/22/09 SUB-DIV NAME CHANGE (WAS TRI-CITY) 7/24/09 PHYS ADDR CHANGE (WAS 161 THUNDER DRIVE) 6/25/09 PHYS ADDR UPDATE (WAS 134 GRAPEVINE RD)
09/22/2009
April 2025
April 2025
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