340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
CH09108G CENTRO DE SALUD DE LA COMUNIDAD DE SAN YSIDRO, INC. (ToBeTerminated)
Print
Main Details
Name
CENTRO DE SALUD DE LA COMUNIDAD DE SAN YSIDRO, INC.
Subdivision Name
San Ysidro Health Children's Dental Center at Radys Children's Hospital
Type
HRSA-Funded Health Center
Site ID
BPS-H80-000067
340B ID
CH09108G
Grant Number
H80CS10748
Additional Details
Current Program Status
ToBeTerminated
Registration Date
3/22/2012
Participating Start Date
7/1/2012
Participating Approval Date
6/14/2012
Last Recertification Date
2/24/2025
Termination Date
Termination Reason
7/1/2025
Site closure
Contacts
Authorizing Official
Centro de Salud de la Comunidad de San Ysidro, Inc.
Brian Wallace, VP of Finance & CFO
(619) 662-4100
Primary Contact
Centro de Salud de la Comunidad de San Ysidro Inc.
Douglas Israel, Director of Contracts
(619) 662-4165
Addresses
Street Address
8110 Birmingham Way
San Diego, CA 92123-4223
Billing Address
San Ysidro Health Center, Inc.
4004 Beyer Blvd.
San Ysidro, CA 92173
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
History
1
Item
1
to
1
of
1
Page:
of 1
Go
Page size:
Change
Comment
Last Updated On
1
Item
1
to
1
of
1
Page:
of 1
Go
Page size:
Change
4/3/12 - Reviewed registration and forwarded to IS.
04/03/2012
April 2025
April 2025
week
S
M
T
W
T
F
S
14
30
31
1
2
3
4
5
15
6
7
8
9
10
11
12
16
13
14
15
16
17
18
19
17
20
21
22
23
24
25
26
18
27
28
29
30
1
2
3
19
4
5
6
7
8
9
10
NoFilter
Contains
DoesNotContain
StartsWith
EndsWith
EqualTo
NotEqualTo
GreaterThan
LessThan
GreaterThanOrEqualTo
LessThanOrEqualTo
Between
NotBetween
IsEmpty
NotIsEmpty
IsNull
NotIsNull
Custom
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session