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CH091025B MENDOCINO COAST CLINICS, INC. (Active)
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Main Details
Name
MENDOCINO COAST CLINICS, INC.
Subdivision Name
Mendocino Coast Clinics, Inc.
Type
HRSA-Funded Health Center
Site ID
BPS-H80-010864
340B ID
CH091025B
Grant Number
H80CS00876
Additional Details
Current Program Status
Active
Registration Date
7/15/2011
Participating Start Date
10/1/2011
Participating Approval Date
9/7/2011
Last Recertification Date
2/11/2025
Contacts
Authorizing Official
Mendocino Coast Clinics
Lucresha Renteria, Executive Director
(707) 964-1251 Ext: 3433
Primary Contact
Mendocino Coast Clinics
Jeremie Foley, Operations Director
(707) 964-1251 Ext: 3430
Addresses
Street Address
510 Cypress Street, Suite D
Fort Bragg, CA 95437-5411
Billing Address
MENDOCINO COAST CLINICS, INC.
205 South Street
Fort Bragg, CA 95437
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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June 2025
June 2025
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