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CH092535A SAN JOSE FOOTHILL FAMILY COMMUNITY CLINIC, INC (Terminated)
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Main Details
Name
SAN JOSE FOOTHILL FAMILY COMMUNITY CLINIC, INC
Subdivision Name
SJFFCC ADULT & PEDIATRICS
Type
HRSA-Funded Health Center
Site ID
BPS-H80-002521
340B ID
CH092535A
Grant Number
H80CS06646
Additional Details
Current Program Status
Terminated
Registration Date
8/26/2009
Participating Start Date
10/1/2009
Participating Approval Date
9/17/2009
Last Recertification Date
1/27/2020
Termination Date
Termination Reason
1/1/2021
Other
Contacts
Authorizing Official
Bay Area Community Health
Zettie D Page, CEO
(760) 902-5249
Primary Contact
Bay Area Community Health
NEIL KOZUMA, Development Director
(408) 729-4290 Ext: 4087294290
Addresses
Street Address
2880 Story Rd STE A
San Jose, CA 95127-3942
Billing Address
Foothill Community Health Center
2670 S.White Road Suite 200
San Jose, CA 95148-2073
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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11/3/09 UPDATED BILL TO (WAS 660 SINCLAIR DRIVE)
01/14/2010
April 2025
April 2025
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