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CH09311AB AltaMed Health Services Corporation (Terminated)
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Main Details
Name
AltaMed Health Services Corporation
Subdivision Name
AltaMed PACE - Downey
Type
HRSA-Funded Health Center
Site ID
BPS-H80-007528
340B ID
CH09311AB
Grant Number
H80CS00142
Additional Details
Current Program Status
Terminated
Registration Date
9/20/2011
Participating Start Date
1/1/2012
Participating Approval Date
11/10/2011
Last Recertification Date
1/31/2023
Termination Date
Termination Reason
4/1/2023
Site closure
Contacts
Authorizing Official
AltaMed Health Services Corporation
Jose Esparza, Sr. VP, Finance & CFO
(323) 889-7320
Primary Contact
AltaMed Health Services Corporation
Israel Espinoza, Care Management Coordinator
(323) 889-7886
Addresses
Street Address
12130 Paramount Blvd
Downey, CA 90242
Billing Address
AltaMed Medical Group
2040 Camfield Avenue
Los Angeles, CA 90040
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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