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CH09312BS FAMILY HEALTH CENTERS OF SAN DIEGO, INC. (Active)
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Main Details
Name
FAMILY HEALTH CENTERS OF SAN DIEGO, INC.
Subdivision Name
Diamond Neighborhoods Family Health Center
Type
HRSA-Funded Health Center
Site ID
BPS-H80-010116
340B ID
CH09312BS
Grant Number
H80CS00224
Additional Details
Current Program Status
Active
Registration Date
6/11/2008
Participating Start Date
7/1/2008
Participating Approval Date
6/11/2008
Last Recertification Date
3/1/2025
Contacts
Authorizing Official
Family Health Centers of San Diego
Ricardo Roman, CFO
(619) 906-4603
Primary Contact
Family Health Centers of San Diego, Inc.
Nichole M Laferriere, Business Analyst II
(619) 255-7313
Addresses
Street Address
4725 MARKET ST
SAN DIEGO, CA 92102-4715
Billing Address
FAMILY HEALTH CENTERS OF SAN DIEGO, INC.
823 Gateway Center Way
San Diego, CA 92102
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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10/19/10 REMOVED SHIP ADD (WAS 5335 MARKET ST, SAN DIEGO), ADD NPI#
10/19/2010
May 2025
May 2025
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