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CH09039X CLINICA SIERRA VISTA (Terminated)
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Main Details
Name
CLINICA SIERRA VISTA
Subdivision Name
EASTON COMMUNITY HEALTH CENTER
Type
HRSA-Funded Health Center
Site ID
BPS-H80-003983
340B ID
CH09039X
Grant Number
H80CS00540
Additional Details
Current Program Status
Terminated
Registration Date
12/31/2008
Participating Start Date
1/1/2009
Participating Approval Date
12/31/2008
Last Recertification Date
2/7/2020
Termination Date
Termination Reason
4/1/2021
Site closure
Contacts
Authorizing Official
Clinica Sierra Vista
Stacy Lynn Ferreira, CEO
(661) 635-3050
Primary Contact
Clinica Sierra Vista
Nancy Banuelos, Deputy CEO
(661) 635-3050
Addresses
Street Address
5784 S ELM AVE
FRESNO, CA 93706-5813
Billing Address
CLINICA SIERRA VISTA
1430 TRUXTUN AVENUE, SUITE 400
P.O. BOX 1559
BAKERSFIELD, CA 93301
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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