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FQHCLA263A MAYVIEW COMMUNITY HEALTH CENTER, INC. (Terminated)
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Main Details
Name
MAYVIEW COMMUNITY HEALTH CENTER, INC.
Subdivision Name
MAYVIEW COMMUNITY HEALTH CENTER - MV
Type
Health Center Program Look-Alike
Site ID
BPS-LAL-012760
340B ID
FQHCLA263A
Grant Number
LALCS00001
Additional Details
Current Program Status
Terminated
Registration Date
5/27/2010
Participating Start Date
7/1/2010
Participating Approval Date
6/2/2010
Last Recertification Date
1/27/2020
Termination Date
Termination Reason
7/1/2020
Loss of qualifying grant/support
Contacts
Authorizing Official
MayView Community Health Center
Kenneth Graham, CEO
(650) 475-1508
Primary Contact
MayView Community Health Center
ALEXANDRA RAMIREZ, OFFICE MANAGER
(650) 327-1223 Ext: 1021
Addresses
Street Address
900 MIRAMONTE AVENUE
2ND FLOOR
MOUNTAIN VIEW, CA 94040-2457
Billing Address
MAYVIEW COMMUNITY HEALTH CENTER, INC.
270 GRANT AVENUE
PALO ALTO, CA 94306-1911
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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12/30/13 updated site ID to match address change previously approved by J. Hardin; 6/4/10 UPDATED BILL TO CITY (WAS SUNNYVALE)
12/30/2013
6/4/10 UPDATED BILL TO CITY (WAS SUNNYVALE)
05/27/2010
May 2025
May 2025
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