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CH09882L CHILDREN'S CLINIC 'SERVING CHILDREN AND THEIR FAMILIES' THE (Active)
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Main Details
Name
CHILDREN'S CLINIC 'SERVING CHILDREN AND THEIR FAMILIES' THE
Subdivision Name
The Children's Clinic at the Long Beach Multiservice Center
Type
HRSA-Funded Health Center
Site ID
BPS-H80-006081
340B ID
CH09882L
Grant Number
H80CS00264
Additional Details
Current Program Status
Active
Registration Date
1/9/2013
Participating Start Date
4/1/2013
Participating Approval Date
2/26/2013
Last Recertification Date
2/13/2025
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"
CESAR VAZQUEZ, Director of Operations
(562) 264-4676
Addresses
Street Address
1301 W. 12TH ST
LONG BEACH, CA 90813-2720
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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