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FQHCLA247A HEALTH AND LIFE ORGANIZATION INC. (Active)
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Main Details
Name
HEALTH AND LIFE ORGANIZATION INC.
Subdivision Name
SACRAMENTO COMMUNITY CLINIC - DEL PASO
Type
Health Center Program Look-Alike
Site ID
BPS-LAL-009960
340B ID
FQHCLA247A
Grant Number
LALCS00018
Additional Details
Current Program Status
Active
Registration Date
2/11/2009
Participating Start Date
4/1/2009
Participating Approval Date
2/12/2009
Last Recertification Date
2/11/2025
Contacts
Authorizing Official
Health and Life Organization, Inc.
JERRY T. BLIATOUT, CEO
(916) 428-3788 Ext: 4236
Primary Contact
Health and Life Organization, Inc.
Melissa Yang, 340B Compliance Specialist
(916) 642-1867 Ext: 4011
Addresses
Street Address
2200 DEL PASO BLVD
SACRAMENTO, CA 95815
Billing Address
Health and Life Organization, Inc. (H.A.L.O.) dba Sacramento Community Clinic
3030 Explorer Drive
SACRAMENTO, CA 95827
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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