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CH09848O COUNTY OF VENTURA (Active)
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Main Details
Name
COUNTY OF VENTURA
Subdivision Name
Moorpark Family Medical Clinic
Type
HRSA-Funded Health Center
Site ID
BPS-H80-012254
340B ID
CH09848O
Grant Number
H80CS00247
Additional Details
Current Program Status
Active
Registration Date
10/8/2008
Participating Start Date
10/9/2008
Participating Approval Date
10/9/2008
Last Recertification Date
3/4/2025
Contacts
Authorizing Official
Ventura County Health Care Agency
Theresa Cho, Chief Executive Officer, Ambulatory Care
(805) 652-6228
Primary Contact
Ventura County Medical Center
Beatriz Cachu, 340B Program Administrator
(805) 652-6159
Addresses
Street Address
612 Spring Road BLDG A
Moorpark, CA 93021
Billing Address
VCMC Accounts Payable
800 S Victoria Ave; L4610
VENTURA, CA 93009
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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Address is not listed in EHB as an approved site, contact BPHC project officer to submit a change of scope. Request will not be approved by OPA until information is updated in EHB. Address is not in EHB as an approved site, contact BPHC project officer to submit a change of scope. 3/8/12 - Changed mail to address from 133 W. Santa Clara Street and added ship to and bill to address. Changed AO from Kate Mills and contact from Curtis Ohashi.
09/28/2012
Address is not in EHB as an approved site, contact BPHC project officer to submit a change of scope. 3/8/12 - Changed mail to address from 133 W. Santa Clara Street and added ship to and bill to address. Changed AO from Kate Mills and contact from Curtis Ohashi.
09/28/2012
3/8/12 - Changed mail to address from 133 W. Santa Clara Street and added ship to and bill to address. Changed AO from Kate Mills and contact from Curtis Ohashi.
03/08/2012
April 2025
April 2025
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