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FQHCLA328E SAN JOAQUIN, COUNTY OF (Active)
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Main Details
Name
SAN JOAQUIN, COUNTY OF
Subdivision Name
Children's Health Services
Type
Health Center Program Look-Alike
Site ID
BPS-LAL-014283
340B ID
FQHCLA328E
Grant Number
LALCS00158
Additional Details
Current Program Status
Active
Registration Date
9/30/2014
Participating Start Date
10/1/2014
Participating Approval Date
9/30/2014
Last Recertification Date
2/11/2025
Contacts
Authorizing Official
San Joaquin County Clinics
Rachna Sharma, Controller
(209) 953-3738
Primary Contact
San Joaquin County Clinics
STACY FERREIRA, INTERIM CEO
(209) 953-3700 Ext: 33719
Addresses
Street Address
1414 N California St
Suite A
Stockton, CA 95202-1515
Billing Address
San Joaquin County Clinics
500 W. Hospital Rd
French Camp, CA 95231
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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