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CH09072G NORTH COUNTY HEALTH PROJECT, INC (Terminated)
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Main Details
Name
NORTH COUNTY HEALTH PROJECT, INC
Subdivision Name
North County Health Services -Grand Avenue
Type
HRSA-Funded Health Center
Site ID
BPS-H80-008082
340B ID
CH09072G
Grant Number
H80CS00228
Additional Details
Current Program Status
Terminated
Registration Date
4/10/2014
Participating Start Date
7/1/2014
Participating Approval Date
5/2/2014
Last Recertification Date
1/30/2019
Termination Date
Termination Reason
4/1/2019
Site closure
Contacts
Authorizing Official
NCHS
Patrick Tellez, CMO
(760) 736-8689
Primary Contact
NCHS
Kory Hernandez, Director of Operations
(760) 736-1722
Addresses
Street Address
727 West San Marcos Blvd. Sute 112
San Marcos, CA 92078
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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