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FQHCLA002E COUNTY OF MONTEREY (Terminated)
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Main Details
Name
COUNTY OF MONTEREY
Subdivision Name
Laurel Family Practice
Type
Health Center Program Look-Alike
Site ID
BPS-LAL-015148
340B ID
FQHCLA002E
Grant Number
LALCS00049
Additional Details
Current Program Status
Terminated
Registration Date
2/28/2006
Participating Start Date
4/1/2006
Participating Approval Date
2/28/2006
Last Recertification Date
1/31/2019
Termination Date
Termination Reason
4/1/2020
Failure to recertify
Contacts
Authorizing Official
Monterey County HEalth Department
Julia C. Edgcomb, Clinic Services Bureau Chief/Director
(831) 796-1386
Primary Contact
Monterey County Health Department
Prisca Segovia, Management Analyst II - Clinic Service Bureau
(831) 755-4939
Addresses
Street Address
1441 Constitution Blvd, Bldg. 400, STE 300
Salinas, CA 93906-3126
Billing Address
Monterey County Health Department FQHC Look Alike Clinics
1441 Schilling Place
South Building, First Floor
SALINAS, CA 93901
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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1/11/08-DELETED SHIPPING ADD.;1/11/08 ADDED CONTRACT PHARMACY.
02/28/2006
April 2025
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