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CH09848Q COUNTY OF VENTURA (Terminated)
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Main Details
Name
COUNTY OF VENTURA
Subdivision Name
Piru Family Medical Center
Type
HRSA-Funded Health Center
Site ID
BPS-H80-008522
340B ID
CH09848Q
Grant Number
H80CS00247
Additional Details
Current Program Status
Terminated
Registration Date
10/8/2008
Participating Start Date
10/9/2008
Participating Approval Date
10/9/2008
Last Recertification Date
2/8/2018
Termination Date
Termination Reason
1/1/2019
Site closure
Contacts
Authorizing Official
Ventura County Health Care Agency
Erik Cho, Associate Administrator
(805) 339-1168
Primary Contact
Ventura County Medical Center
Jason Arimura, Associate Hospital Administrator - Ancillary Services
(805) 652-6759
Addresses
Street Address
4061 Center St
Piru, CA 93040
Billing Address
County of Ventura
300 Hillmont
VENTURA, CA 93003
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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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
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