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CH096030 Redwood Coast Medical Services Inc (Active)
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Main Details
Name
Redwood Coast Medical Services Inc
Subdivision Name
REDWOOD COAST MEDICAL SERVICES
Type
HRSA-Funded Health Center
Site ID
BPS-H80-005558
340B ID
CH096030
Grant Number
H80CS00575
Additional Details
Current Program Status
Active
Registration Date
4/8/2019
Participating Start Date
4/16/2019
Participating Approval Date
4/16/2019
Last Recertification Date
2/13/2025
Contacts
Authorizing Official
RCMS
Ara Chakrabarti, CEO
(707) 884-4005 Ext: 137
Primary Contact
Redwood Coast Medical Services Inc
Dawn McQuarrie, Development and Grants Manager
(707) 884-9434
Addresses
Street Address
46900 Ocean Dr
Gualala, CA 95445-8353
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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Participating start date 10/1/1996, Termination 4/1/2019, Reinstate 4/16/2019
04/16/2019
6/17/05 - CH CONVERSION REPLACES FQ69
10/01/1996
April 2025
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