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CH09312BT FAMILY HEALTH CENTERS OF SAN DIEGO, INC. (Active)
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Main Details
Name
FAMILY HEALTH CENTERS OF SAN DIEGO, INC.
Subdivision Name
Lemon Grove Family Health Center
Type
HRSA-Funded Health Center
Site ID
BPS-H80-008248
340B ID
CH09312BT
Grant Number
H80CS00224
Additional Details
Current Program Status
Active
Registration Date
8/25/2010
Participating Start Date
10/1/2010
Participating Approval Date
8/26/2010
Last Recertification Date
3/1/2025
Contacts
Authorizing Official
Family Health Centers of San Diego
Ricardo Roman, CFO
(619) 906-4603
Primary Contact
Family Health Centers of San Diego, Inc.
Nichole M Laferriere, Business Analyst II
(619) 255-7313
Addresses
Street Address
7592 Broadway
Lemon Grove, CA 91945-1604
Billing Address
Family Health Centers of San Diego, Inc.
823 Gateway Center Way
San Diego, CA 92102
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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10/19/10 NEW NPI# (WAS 1750599684)
10/19/2010
May 2025
May 2025
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