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FP920697 NORTH COUNTY HEALTH SERVICES (Terminated)
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Main Details
Name
NORTH COUNTY HEALTH SERVICES
Subdivision Name
ADMINISTRATIVE OFFICE & CLINIC
Type
Family Planning (Title X only)
340B ID
FP920697
Grant Number
FPHPA096061
Additional Details
Current Program Status
Terminated
Registration Date
1/1/1998
Participating Start Date
1/1/1998
Participating Approval Date
1/1/1998
Last Recertification Date
5/20/2015
Termination Date
Termination Reason
10/1/2015
Site closure
Contacts
Authorizing Official
IRMA COTA, CEO
(760) 736-6755
Primary Contact
North County Health Project, Inc.
Kory Hernandez, Director of Pharmacy and Dental Operations
(760) 736-7061
Addresses
Street Address
150 VALPREDA RD
SAN MARCOS, CA 92069
Billing Address
North County Health services
150 VALPREDA RD
San Marcos, CA 92069
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
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2/19/10 ADDED SUBDIV NAME;
02/19/2010
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