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CH09107BQ San Francisco Community Clinic Consortium (Active)
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Main Details
Name
San Francisco Community Clinic Consortium
Subdivision Name
CHPY-Larkin Street Youth Center
Type
HRSA-Funded Health Center
Site ID
BPS-H80-018201
340B ID
CH09107BQ
Grant Number
H80CS00049
Additional Details
Current Program Status
Active
Registration Date
4/17/2012
Participating Start Date
7/1/2012
Participating Approval Date
6/14/2012
Last Recertification Date
2/10/2025
Contacts
Authorizing Official
ZSFG
Susan Ehrlich, CEO
(628) 206-8118
Primary Contact
ZSFG
David E Smith, Pharmacy Manager
(628) 206-2332
Addresses
Street Address
Larkin Street Clinic
134 Golden Gate Avenue
San Francisco, CA 94102
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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5/16/12 - Reviewed registration. 5/17/12 - sent email asking for AO verification. 5/21/12 - sent to IS for approval.
05/21/2012
5/16/12 - Reviewed registration. 5/17/12 - sent email asking for AO verification.
05/17/2012
5/16/12 - Reviewed registration.
05/16/2012
April 2025
April 2025
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