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CHC12875-00 HURTT FAMILY HEALTH CLINIC, INC. (Active)
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Main Details
Name
HURTT FAMILY HEALTH CLINIC, INC.
Subdivision Name
Hurtt Family Health Clinic - Village of Hope
Type
HRSA-Funded Health Center
Site ID
BPS-H80-008358
340B ID
CHC12875-00
Grant Number
H80CS12875
Additional Details
Current Program Status
Active
Registration Date
11/24/2010
Participating Start Date
1/1/2011
Participating Approval Date
12/6/2010
Last Recertification Date
3/5/2025
Contacts
Authorizing Official
Hurtt Family Health Clinic
Jina 714-914-6551 Lawler, President & CEO
(714) 247-8044
Primary Contact
Hurtt Family Health Clinic
Mercedes Wagner, Pharmacist
(714) 397-1224
Addresses
Street Address
1 Hope Drive
Tustin, CA 92782
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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May 2025
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