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CH091014B COMMUNITY HEALTH ALLIANCE OF PASADENA (Terminated)
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Main Details
Name
COMMUNITY HEALTH ALLIANCE OF PASADENA
Subdivision Name
CHAP/Lake Clinic
Type
HRSA-Funded Health Center
Site ID
BPS-H80-010220
340B ID
CH091014B
Grant Number
H80CS04220
Additional Details
Current Program Status
Terminated
Registration Date
8/31/2012
Participating Start Date
10/1/2012
Participating Approval Date
9/19/2012
Last Recertification Date
2/4/2020
Termination Date
Termination Reason
4/1/2021
Site closure
Contacts
Authorizing Official
Community Health Alliance of Pasadena (ChapCare)
MARGARET B. MARTINEZ, Chief Executive Officer
(626) 993-1227
Primary Contact
Community Health Alliance of Pasadena
Deyner Zapata, Interim Chief Executive Officer
(626) 993-1260
Addresses
Street Address
1800 N. Lake Ave.
Pasadena, CA 91104-1228
Billing Address
Community Health Alliance of Pasadena
1855 N. Fair Oaks Ave
Pasadena, CA 91104
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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June 2025
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