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FQHCLA048E TULARE, COUNTY OF (Terminated)
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Main Details
Name
TULARE, COUNTY OF
Subdivision Name
Tulare Pediatrics Health Care Center
Type
Health Center Program Look-Alike
Site ID
BPS-LAL-009866
340B ID
FQHCLA048E
Grant Number
LALCS00070
Additional Details
Current Program Status
Terminated
Registration Date
4/11/2013
Participating Start Date
7/1/2013
Participating Approval Date
5/20/2013
Last Recertification Date
1/25/2017
Termination Date
Termination Reason
10/1/2017
Site closure
Contacts
Authorizing Official
JASON T. BRITT, DIRECTOR OF PUBLIC HEALTH
(559) 624-8481
Primary Contact
Tulare County Health and Human Services Agency
ROB STEWART, PUBLIC HEALTH MANAGER
(559) 624-7382
Addresses
Street Address
1008 N Cherry St
Tulare, CA 93274-2212
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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