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CH09312CK FAMILY HEALTH CENTERS OF SAN DIEGO, INC. (Active)
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Main Details
Name
FAMILY HEALTH CENTERS OF SAN DIEGO, INC.
Subdivision Name
Veterans Village of San Diego Clinic
Type
HRSA-Funded Health Center
Site ID
BPS-H80-005850
340B ID
CH09312CK
Grant Number
H80CS00224
Additional Details
Current Program Status
Active
Registration Date
10/15/2013
Participating Start Date
1/1/2014
Participating Approval Date
12/11/2013
Last Recertification Date
3/1/2025
Contacts
Authorizing Official
Family Health Centers of San Diego
Ricardo Roman, CFO
(619) 906-4603
Primary Contact
Family Health Centers of San Diego, Inc.
Nichole M Laferriere, Business Analyst II
(619) 255-7313
Addresses
Street Address
4141 Pacific Hwy
San Diego, CA 92110-2030
Billing Address
Family Health Centers of San Diego, Inc.
823 Gateway Center Way
San Diego, CA 92102
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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April 2025
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