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CHC08241-03 MISSION CITY COMMUNITY NETWORK INC (Terminated)
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Main Details
Name
MISSION CITY COMMUNITY NETWORK INC
Subdivision Name
Mission City Community Network - Pomona - Mobile Clinic
Type
HRSA-Funded Health Center
Site ID
BPS-H80-011128
340B ID
CHC08241-03
Grant Number
H80CS08241
Additional Details
Current Program Status
Terminated
Registration Date
1/3/2013
Participating Start Date
4/1/2013
Participating Approval Date
2/26/2013
Last Recertification Date
2/1/2019
Termination Date
Termination Reason
4/1/2019
Business decision by the Covered Entity
Contacts
Authorizing Official
Mission City Community Network
Nik Gupta, CEO
(818) 895-3100
Primary Contact
Mission City Community Network, Inc.
Gloria Lina, COO
(818) 895-3100 Ext: 697
Addresses
Street Address
845 E Arrow Hwy
Pomona, CA 91767-2535
Billing Address
Mission City Community Network, Inc.
15206 Parthenia Street
North Hills, CA 91343-5305
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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