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CH09039AE CLINICA SIERRA VISTA (Active)
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Main Details
Name
CLINICA SIERRA VISTA
Subdivision Name
DENTAL: CLINICA SIERRA VISTA - East Bakersfield Dental Center
Type
HRSA-Funded Health Center
Site ID
BPS-H80-010857
340B ID
CH09039AE
Grant Number
H80CS00540
Additional Details
Current Program Status
Active
Registration Date
9/14/2010
Participating Start Date
10/1/2010
Participating Approval Date
9/14/2010
Last Recertification Date
3/3/2025
Contacts
Authorizing Official
Clinica Sierra Vista
Dixit Bhakta, Director of Pharmacy
(661) 779-3118
Primary Contact
Clinica Sierra Vista
Diane Marin-Gonzalez, 340B Analyst
(954) 686-5823
Addresses
Street Address
1125 E California Ave
Bakersfield, CA 93307
Billing Address
Clinica Sierra Vista
1430 Truxtun Ave, STE 400
PO BOX 1559
Bakersfield, CA 93301
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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4/3/12 - Changed main address from 234 Baker St. suite #6 and billing address from 1430 Truxtun Ave, suite 400, p.o. box 1559, Dental Center relocated.
04/03/2012
May 2025
May 2025
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