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CH09085X AMPLA HEALTH (Terminated)
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Main Details
Name
AMPLA HEALTH
Subdivision Name
Ampla Health Chico Dental
Type
HRSA-Funded Health Center
Site ID
BPS-H80-010970
340B ID
CH09085X
Grant Number
H80CS00765
Additional Details
Current Program Status
Terminated
Registration Date
1/3/2013
Participating Start Date
4/1/2013
Participating Approval Date
3/15/2013
Last Recertification Date
2/16/2024
Termination Date
Termination Reason
4/1/2025
Other
Contacts
Authorizing Official
Ampla Health
Benjamin H. Flores, President & CEO
(530) 674-4261 Ext: 1155
Primary Contact
Ampla Health
Cindy Anne Snelgrove, Chief Clinical Services Officer
(530) 751-3755
Addresses
Street Address
236 WEST EAST AVENUE
SUITE H
CHICO, CA 95926
Billing Address
Ampla Health
935 Market Street
Yuba City, CA 95991
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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May 2025
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