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CH0910140 COMMUNITY HEALTH ALLIANCE OF PASADENA (Terminated)
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Main Details
Name
COMMUNITY HEALTH ALLIANCE OF PASADENA
Subdivision Name
COMMUNITY HEALTH ALLIANCE OF PASADENA
Type
HRSA-Funded Health Center
Site ID
BPS-H80-004947
340B ID
CH0910140
Grant Number
H80CS04220
Additional Details
Current Program Status
Terminated
Registration Date
2/24/2006
Participating Start Date
1/1/2004
Participating Approval Date
2/24/2006
Last Recertification Date
2/2/2023
Termination Date
Termination Reason
4/1/2024
Loss of qualifying grant/support
Contacts
Authorizing Official
Community Health Alliance of Pasadena
Deyner Zapata, Interim Chief Executive Officer
(626) 993-1260
Primary Contact
Community Health Alliance of Pasadena
Marcy Chavez, Business Operations Director
(626) 993-1238
Addresses
Street Address
1855 N Fair Oaks Ave
Pasadena, CA 91103-1620
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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3/31/06 - REPLACES CH091000HCH01
09/18/2006
June 2025
June 2025
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