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CHC24113-01 Elica Health Centers (Active)
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Main Details
Name
Elica Health Centers
Subdivision Name
Elica Health Centers - Midtown
Type
HRSA-Funded Health Center
Site ID
BPS-H80-012849
340B ID
CHC24113-01
Grant Number
H80CS24113
Additional Details
Current Program Status
Active
Registration Date
10/2/2017
Participating Start Date
1/1/2018
Participating Approval Date
10/12/2017
Last Recertification Date
2/10/2025
Contacts
Authorizing Official
Elica Health Centers
David E Hughes, COO/CFO
(916) 569-8484 Ext: 312
Primary Contact
Elica Health Centers
Christina Osman, Project Director
(916) 569-8484 Ext: 802
Addresses
Street Address
3701 J St Ste 201
Sacramento, CA 95816
Billing Address
Elica Health Centers
1860 Howe Ave., Suite 440
Sacramento, CA 95825
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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Initial start date 1/1/2014, Termination date 4/1/2016, Reinstate 1/1/2018
10/05/2017
April 2025
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