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CH09312BU FAMILY HEALTH CENTERS OF SAN DIEGO, INC. (Active)
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Main Details
Name
FAMILY HEALTH CENTERS OF SAN DIEGO, INC.
Subdivision Name
FHCSD Mobile Medical Unit III
Type
HRSA-Funded Health Center
Site ID
BPS-H80-002013
340B ID
CH09312BU
Grant Number
H80CS00224
Additional Details
Current Program Status
Active
Registration Date
10/19/2010
Participating Start Date
1/1/2011
Participating Approval Date
11/22/2010
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
823 Gateway Center Way
San Diego, CA 92102-4541
Billing Address
Family Health Centers
823 Gateway Centerway
San Diego, CA 92102
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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