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CH09035C WEST COUNTY HEALTH CENTERS, INC. (Active)
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Main Details
Name
WEST COUNTY HEALTH CENTERS, INC.
Subdivision Name
Sebastopol Community Health Center
Type
HRSA-Funded Health Center
Site ID
BPS-H80-000069
340B ID
CH09035C
Grant Number
H80CS00242
Additional Details
Current Program Status
Active
Registration Date
8/31/2010
Participating Start Date
10/1/2010
Participating Approval Date
9/1/2010
Last Recertification Date
2/10/2025
Contacts
Authorizing Official
West County Health Centers
Jason Lee Cunningham, CEO
(707) 869-5977
Primary Contact
West County Health Centers
Ellen Bauer, Chief Administrative Officer
(707) 869-5977 Ext: 1014
Addresses
Street Address
6800 Palm Ave STE C
Sebastopol, CA 95472
Billing Address
WEST COUNTY HEALTH CENTERS, INC.
PO BOX 1449
GUERNEVILLE, CA 95446
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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