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CH09103F ASIAN HEALTH SERVICES (Terminated)
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Main Details
Name
ASIAN HEALTH SERVICES
Subdivision Name
AHS Laney College Clinic
Type
HRSA-Funded Health Center
Site ID
BPS-H80-010508
340B ID
CH09103F
Grant Number
H80CS00773
Additional Details
Current Program Status
Terminated
Registration Date
1/2/2014
Participating Start Date
4/1/2014
Participating Approval Date
2/24/2014
Last Recertification Date
2/22/2016
Termination Date
Termination Reason
4/1/2016
Site closure
Contacts
Authorizing Official
Asian Health Services
SHERRY HIROTA, CEO
(510) 735-3111
Primary Contact
Asian Health Services
Susan Park, Clinical Services Manager
(510) 735-3100 Ext: 3124
Addresses
Street Address
900 Fallon St 410-A
Oakland, CA 94607-4808
Billing Address
Asian Health Services
818 Webster Street
Oakland, CA 94607-4220
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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