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CH09882G CHILDREN'S CLINIC 'SERVING CHILDREN AND THEIR FAMILIES' THE (Terminated)
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Main Details
Name
CHILDREN'S CLINIC 'SERVING CHILDREN AND THEIR FAMILIES' THE
Subdivision Name
The Children's Clinic at International Elementary School
Type
HRSA-Funded Health Center
Site ID
BPS-H80-006547
340B ID
CH09882G
Grant Number
H80CS00264
Additional Details
Current Program Status
Terminated
Registration Date
1/9/2013
Participating Start Date
4/1/2013
Participating Approval Date
2/26/2013
Last Recertification Date
2/19/2019
Termination Date
Termination Reason
4/1/2020
Site closure
Contacts
Authorizing Official
The Children's Clinic, 'Serving Children and Their Families'
Elisa Nicholas, Chief Executive Officer
(562) 264-3551 Ext: 5622643985
Primary Contact
The Children's Clinic, 'Serving Children and Their Families'
Jina Lawler, Chief Operations Officer
(562) 264-3985
Addresses
Street Address
700 LOCUST AVE
LONG BEACH, CA 90813-4317
Billing Address
The Children's Clinic, Serving Children & Their Families
701 E. 28th Street
Suite 200
Long Beach, CA 90806
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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