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CHC08216-00 COMMUNICARE HEALTH CENTERS (Terminated)
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Main Details
Name
COMMUNICARE HEALTH CENTERS
Subdivision Name
DAVIS COMMUNITY CLINIC
Type
HRSA-Funded Health Center
Site ID
BPS-H80-004531
340B ID
CHC08216-00
Grant Number
H80CS08216
Additional Details
Current Program Status
Terminated
Registration Date
6/9/2010
Participating Start Date
1/1/2005
Participating Approval Date
11/5/2004
Last Recertification Date
2/14/2023
Termination Date
Termination Reason
4/1/2024
Other
Contacts
Authorizing Official
CommuniCare Health Centers
Melissa Marshall, Chief Executive Officer
(530) 753-3498
Primary Contact
CommuniCare Health Centers
Tammy Hughes, Revenue Cycle Manager
(530) 285-3237
Addresses
Street Address
2051 JOHN JONES ROAD
DAVIS, CA 95616-9701
Billing Address
COMMUNICARE HEALTH CENTERS
PO BOX 1260
DAVIS, CA 95617
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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