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CH092143N LOS ANGELES CHRISTIAN HEALTH CENTERS (Terminated)
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Main Details
Name
LOS ANGELES CHRISTIAN HEALTH CENTERS
Subdivision Name
Los Angeles Mission- Anne Douglas Center
Type
HRSA-Funded Health Center
Site ID
BPS-H80-009305
340B ID
CH092143N
Grant Number
H80CS06674
Additional Details
Current Program Status
Terminated
Registration Date
5/27/2010
Participating Start Date
7/1/2010
Participating Approval Date
6/1/2010
Last Recertification Date
2/14/2017
Termination Date
Termination Reason
4/1/2018
Site closure
Contacts
Authorizing Official
Los Angeles Christian Health Centers
Bettina Lewis, Chief Operations Officer
(213) 893-1960
Primary Contact
Los Angeles Christian Health Centers
Kelly Chen, Pharmacy Director
(323) 268-8391
Addresses
Street Address
303 E 5th St
Los Angeles, CA 90013-1505
Billing Address
LOS ANGELES CHRISTIAN HEALTH CENTERS
202 W 1st Street
Suite 4-0435
LOS ANGELES, CA 90033
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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