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CHC24202-00 WILMINGTON COMMUNITY CLINIC (Terminated)
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Main Details
Name
WILMINGTON COMMUNITY CLINIC
Subdivision Name
Mary B. Henry Community Clinic
Type
HRSA-Funded Health Center
Site ID
BPS-H80-011825
340B ID
CHC24202-00
Grant Number
H80CS24202
Additional Details
Current Program Status
Terminated
Registration Date
10/15/2012
Participating Start Date
1/1/2013
Participating Approval Date
11/2/2012
Last Recertification Date
2/25/2022
Termination Date
Termination Reason
4/1/2023
Site closure
Contacts
Authorizing Official
Wilmington Community Clinic
Dolores Bonilla, CEO
(424) 477-4040
Primary Contact
Wilmington Community Clinic
Jaquelin Heredia, Executive Admin/Grants Manager
(310) 549-5760 Ext: 145
Addresses
Street Address
10901 S. Vermont Ave.
Los Angeles, CA 90044-3015
Billing Address
Wilmington Community Clinic
1009 N. Avalon Blvd.
Wilmington, CA 90744-4505
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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11/01/12 - Reviewed registration and forwarded to IS for approval.
11/01/2012
April 2025
April 2025
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