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CHC11402-09 NORTHEAST COMMUNITY CLINIC, INC (Active)
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Main Details
Name
NORTHEAST COMMUNITY CLINIC, INC
Subdivision Name
Wilmington Family Health Center
Type
HRSA-Funded Health Center
Site ID
BPS-H80-009952
340B ID
CHC11402-09
Grant Number
H80CS12869
Additional Details
Current Program Status
Active
Registration Date
11/18/2009
Participating Start Date
1/1/2010
Participating Approval Date
11/27/2009
Last Recertification Date
3/4/2025
Contacts
Authorizing Official
Northeast Community Clinic
CHRISTOPHER LAU, EXECUTIVE DIRECTOR
(626) 457-6900
Primary Contact
Northeast Community Clinic
Emely Orozco, Pharmacy Program Administrator
(626) 457-5209
Addresses
Street Address
200 E Anaheim St
Wilmington, CA 90744-4516
Billing Address
NORTHEAST COMMUNITY CLINIC
2550 W MAIN ST, SUITE 301
ALHAMBRA, CA 91801-1694
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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2/15/12 - Changed sub-division name from FAMILY CARE. 4/12/11 UPDATED PHYS ADD (WAS 445 E. ANAHEIM ST., SUITE J); 12/13/2010 UPDATED GRANT NUMBER (WAS H8ACS11402);
02/15/2012
4/12/11 UPDATED PHYS ADD (WAS 445 E. ANAHEIM ST., SUITE J); 12/13/2010 UPDATED GRANT NUMBER (WAS H8ACS11402);
04/12/2011
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