340B Drug Pricing Program Database

Name

MONTEREY COUNTY DEPT OF HEALTH

Subdivision Name

LAUREL PEDIATRIC CLINIC

Type

Health Center Program Look-Alike

Site ID

BPS-LAL-009962

340B ID

FQHCLA002G

Grant Number

LALCS00049

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

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

Street Address

1441 CONSTITUTION BLVD, BLDG 200, SUITE 101
SALINAS, CA 93906

Billing Address

Monterey County Health Department FQHC Look Alike Clinics
1441 Schilling Place
South Building, First Floor
SALINAS, CA 93901