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CHC26615-00 Asian Americans For Community Involvement Of Santa Clara, Inc, The (Active)
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Main Details
Name
Asian Americans For Community Involvement Of Santa Clara, Inc, The
Subdivision Name
AACI
Type
HRSA-Funded Health Center
Site ID
BPS-H80-013306
340B ID
CHC26615-00
Grant Number
H80CS26615
Additional Details
Current Program Status
Active
Registration Date
4/11/2023
Participating Start Date
7/1/2023
Participating Approval Date
4/12/2023
Last Recertification Date
2/14/2025
Contacts
Authorizing Official
AACI
Sarita Kohli, President and CEO
(408) 975-2730 Ext: 106
Primary Contact
Asian American Community Initiative
Chetan Gujarathi, QI Manager
(408) 975-2730 Ext: 114
Addresses
Street Address
2400 Moorpark Ave STE 300
San Jose, CA 95128-2680
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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Participating Start Date 10/1/2014, Termination Date 4/1/2022, reinstatement 7/1/2023
04/12/2023
May 2025
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