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CH0933070 ST. VINCENT DE PAUL VILLAGE, INC. (Active)
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Main Details
Name
ST. VINCENT DE PAUL VILLAGE, INC.
Subdivision Name
Village Health Center
Type
HRSA-Funded Health Center
Site ID
BPS-H80-007683
340B ID
CH0933070
Grant Number
H80CS10606
Additional Details
Current Program Status
Active
Registration Date
9/4/2008
Participating Start Date
9/5/2008
Participating Approval Date
9/5/2008
Last Recertification Date
2/10/2025
Contacts
Authorizing Official
St. Vincent de Paul Village, Inc.
Melissa Bishop, Medical Director
(619) 233-8500
Primary Contact
St. Vincent de Paul Village, Inc.
Megan Partch, Chief Health Officer
(619) 233-8500 Ext: 1400
Addresses
Street Address
16 15th St
San Diego, CA 92101
Billing Address
St Vincent de Paul Village, Inc.
3350 E Street
San Diego, CA 92102
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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