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CH091014D COMMUNITY HEALTH ALLIANCE OF PASADENA (Terminated)
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Main Details
Name
COMMUNITY HEALTH ALLIANCE OF PASADENA
Subdivision Name
Foothill Unity Center
Type
HRSA-Funded Health Center
Site ID
BPS-H80-011422
340B ID
CH091014D
Grant Number
H80CS04220
Additional Details
Current Program Status
Terminated
Registration Date
1/2/2013
Participating Start Date
4/1/2013
Participating Approval Date
1/4/2013
Last Recertification Date
2/14/2018
Termination Date
Termination Reason
4/1/2019
Site closure
Contacts
Authorizing Official
Community Health Alliance of Pasadena
Sergio Bautista, Executive Deputy Director
(626) 993-1215
Primary Contact
Community Health Alliance of Pasadena
Deyner Zapata, Interim Chief Executive Officer
(626) 993-1260
Addresses
Street Address
415 W Chestnut Ave
Monrovia, CA 91016-3207
Billing Address
Community Health Alliance of Pasadena
1855 N Fair Oaks Ave
Pasadena, CA 91103-3207
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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