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CH091181P SANTA CLARA, COUNTY OF (Terminated)
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Main Details
Name
SANTA CLARA, COUNTY OF
Subdivision Name
HOMELESS DENTAL MOBILE UNIT
Type
HRSA-Funded Health Center
Site ID
BPS-H80-001732
340B ID
CH091181P
Grant Number
H80CS01442
Additional Details
Current Program Status
Terminated
Registration Date
10/15/2013
Participating Start Date
1/1/2014
Participating Approval Date
11/5/2013
Last Recertification Date
2/9/2017
Termination Date
Termination Reason
4/1/2018
Business decision by the Covered Entity
Contacts
Authorizing Official
SCVMC
Paul Edward Lorenz, Chief Executive Officer
(408) 885-4004
Primary Contact
SCVMC
Narinder Singh, Director of Pharmacy
(408) 885-2300
Addresses
Street Address
500 Tully Rd
San Jose, CA 95111-1917
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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April 2025
April 2025
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