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CH09311X ALTAMED HEALTH SERVICES CORPORATION (Terminated)
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Main Details
Name
ALTAMED HEALTH SERVICES CORPORATION
Subdivision Name
AltaMed Medical Group: Anaheim, Lincoln
Type
HRSA-Funded Health Center
Site ID
BPS-H80-008473
340B ID
CH09311X
Grant Number
H80CS00142
Additional Details
Current Program Status
Terminated
Registration Date
6/8/2009
Participating Start Date
7/1/2009
Participating Approval Date
6/15/2009
Last Recertification Date
2/10/2020
Termination Date
Termination Reason
1/1/2021
Site closure
Contacts
Authorizing Official
AltaMed Health Services Corporation
Jose Esparza, Sr. VP, Finance & CFO
(323) 889-7320
Primary Contact
AltaMed Health Services Corporation
Israel Espinoza, Care Management Coordinator
(323) 889-7886
Addresses
Street Address
1814 W Lincoln Ave
Anaheim, CA 92801-6730
Billing Address
AltaMed Health Services Corporation
2040 Camfield Avenue
LOS ANGELES, CA 90040
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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