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FQHCLA229 STANISLAUS COUNTY HEALTH SERVICES AGENCY (Active)
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Main Details
Name
STANISLAUS COUNTY HEALTH SERVICES AGENCY
Subdivision Name
ADMINISTRATIVE OFFICES
Type
Health Center Program Look-Alike
Site ID
Administration
340B ID
FQHCLA229
Grant Number
LALCS00076
Additional Details
Current Program Status
Active
Registration Date
10/26/2007
Participating Start Date
1/1/2008
Participating Approval Date
10/29/2007
Last Recertification Date
2/11/2025
Contacts
Authorizing Official
Stanislaus County Health Services Agency
Willie Mixon, Assistant Director
(209) 558-7034
Primary Contact
Stanislaus County Health Services Agency
Lucas Thompson, Manager II, Administration
(209) 558-7375
Addresses
Street Address
1010 10TH STREET
SUITE 6800
MODESTO, CA 95354-0887
Billing Address
STANISLAUS COUNTY HEALTH SERVICES AGENCY
PO BOX 492
MODESTO, CA 95353
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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