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CH09067J NORTH EAST MEDICAL SERVICES (Active)
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Main Details
Name
NORTH EAST MEDICAL SERVICES
Subdivision Name
NORTH EAST MEDICAL SERVICES - 1870 LUNDY
Type
HRSA-Funded Health Center
Site ID
BPS-H80-013448
340B ID
CH09067J
Grant Number
H80CS00221
Additional Details
Current Program Status
Active
Registration Date
1/8/2014
Participating Start Date
4/1/2014
Participating Approval Date
2/26/2014
Last Recertification Date
2/24/2025
Contacts
Authorizing Official
NORTH EAST MEDICAL SERVICES
EDDIE W. CHAN, PRESIDENT AND CEO
(415) 391-9686 Ext: 5905
Primary Contact
nems
BEVERLEY CHAN, PHARMACY DIRECTOR
(415) 391-9686 Ext: 5731
Addresses
Street Address
1870 Lundy Ave
San Jose, CA 95131-1826
Billing Address
NORTH EAST MEDICAL SERVICES
2171 Junipero Serra Blvd
Attn: Pharmacy Department
Suite 260
Daly City, CA 94014
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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