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CH09312CE FAMILY HEALTH CENTERS OF SAN DIEGO, INC. (Active)
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Main Details
Name
FAMILY HEALTH CENTERS OF SAN DIEGO, INC.
Subdivision Name
Chase Avenue Family Health Center
Type
HRSA-Funded Health Center
Site ID
BPS-H80-002624
340B ID
CH09312CE
Grant Number
H80CS00224
Additional Details
Current Program Status
Active
Registration Date
10/20/2010
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
1111 W Chase Ave
El Cajon, CA 92020-5710
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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April 2025
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