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CHC24151-02 SAMUEL DIXON FAMILY HEALTH CEN (Active)
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Main Details
Name
SAMUEL DIXON FAMILY HEALTH CEN
Subdivision Name
Val Verde Health Center
Type
HRSA-Funded Health Center
Site ID
BPS-H80-011533
340B ID
CHC24151-02
Grant Number
H80CS24151
Additional Details
Current Program Status
Active
Registration Date
2/28/2013
Participating Start Date
4/1/2013
Participating Approval Date
3/1/2013
Last Recertification Date
2/11/2025
Contacts
Authorizing Official
Samuel Dixon Family Health Center, Inc.
Philip Solomon, EXECUTIVE DIRECTOR
(661) 257-2339 Ext: 307
Primary Contact
Samuel Dixon Family Health Center, Inc.
Thomas Christensen, CFO
(661) 257-2339 Ext: 305
Addresses
Street Address
30257 San Martinez Rd
Castaic, CA 91384-2472
Billing Address
Samuel Dixon Family Health Centers, Inc.
25115 W. Avenue Stanford
A-104
Valencia, CA 91355
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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