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FQHCLA002K COUNTY OF MONTEREY (Terminated)
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Main Details
Name
COUNTY OF MONTEREY
Subdivision Name
County of Monterey Integrated Health Care Services I Condado de Monterey Servicios Integrados de Salud
Type
Health Center Program Look-Alike
Site ID
BPS-LAL-013954
340B ID
FQHCLA002K
Grant Number
LALCS00049
Additional Details
Current Program Status
Terminated
Registration Date
10/6/2014
Participating Start Date
1/1/2015
Participating Approval Date
10/17/2014
Last Recertification Date
1/31/2019
Termination Date
Termination Reason
4/1/2020
Failure to recertify
Contacts
Authorizing Official
Monterey County HEalth Department
Julia C. Edgcomb, Clinic Services Bureau Chief/Director
(831) 796-1386
Primary Contact
Monterey County Health Department
Prisca Segovia, Management Analyst II - Clinic Service Bureau
(831) 755-4939
Addresses
Street Address
299 12th St
Marina, CA 93933-6003
Billing Address
Monterey County Health Department FQHC Look Alike Clinics
1441 Schilling Place
South Building, First Floor
Salinas, CA 93901
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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June 2025
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