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CH036820 LA CLINICA DEL PUEBLO (Active)
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Main Details
Name
LA CLINICA DEL PUEBLO
Subdivision Name
Type
HRSA-Funded Health Center
Site ID
BPS-H80-005391
340B ID
CH036820
Grant Number
H80CS08244
Additional Details
Current Program Status
Active
Registration Date
12/6/2007
Participating Start Date
1/1/2008
Participating Approval Date
12/7/2007
Last Recertification Date
2/20/2025
Contacts
Authorizing Official
La Clinica del Pueblo
Carlos Plazas, CFO/COO
(202) 464-0141
Primary Contact
La Clinica
Altinay D Kayani, Accounting Manager
(443) 360-8309
Addresses
Street Address
2831 15TH STREET NW
WASHINGTON, DC 20009
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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May 2025
May 2025
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