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CH09071V COMMUNITY HEALTH CENTERS OF THE CENTRAL COAST, INC. (Terminated)
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Main Details
Name
COMMUNITY HEALTH CENTERS OF THE CENTRAL COAST, INC.
Subdivision Name
COMMUNITY HEALTH CENTERS SANTA MARIA III
Type
HRSA-Funded Health Center
Site ID
BPS-H80-017208
340B ID
CH09071V
Grant Number
H80CS00621
Additional Details
Current Program Status
Terminated
Registration Date
8/13/2009
Participating Start Date
7/1/2016
Participating Approval Date
8/13/2009
Last Recertification Date
2/1/2021
Termination Date
Termination Reason
4/1/2021
Site closure
Contacts
Authorizing Official
community health centers of the central coast, inc
RONALD E. CASTLE, CEO
(805) 459-1835
Primary Contact
Community Health Centers of Central Coast, Inc
Ada Yip, Director of 340B Program
(805) 346-3987
Addresses
Street Address
1414 S. MILLER ST. STE 8
SANTA MARIA, CA 93454-6961
Billing Address
COMMUNITY HEALTH CENTERS OF THE CENTRAL COAST, INC.
150 TEJAS PLACE
NIPOMO, CA 93444-9123
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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5/18/16 participating 10/1/09 until terminated 4/1/16, reinstated effective 7/1/16
05/18/2016
April 2025
April 2025
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