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CHC26624-00 POMONA COMMUNITY HEALTH CENTER (Active)
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Main Details
Name
POMONA COMMUNITY HEALTH CENTER
Subdivision Name
Pomona Community Health Center
Type
HRSA-Funded Health Center
Site ID
BPS-H80-013167
340B ID
CHC26624-00
Grant Number
H80CS26624
Additional Details
Current Program Status
Active
Registration Date
1/9/2014
Participating Start Date
4/1/2014
Participating Approval Date
1/13/2014
Last Recertification Date
2/14/2025
Contacts
Authorizing Official
Pomona Community Health Center
David M Kadar, Chief Executive Officer
(909) 630-7939
Primary Contact
Parktree Community Health Center
Juliet V Dominguez, Director of Risk Management & Compliance
(909) 469-9013 Ext: 6037
Addresses
Street Address
750 South Park Avenue, Room 101
Pomona, CA 91766
Billing Address
Pomona Community Health Center
1450 E. Holt Ave
Pomona, CA 91767
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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