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FQHCLA002H COUNTY OF MONTEREY (Terminated)
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Main Details
Name
COUNTY OF MONTEREY
Subdivision Name
Rancho Cielo Inc
Type
Health Center Program Look-Alike
Site ID
BPS-LAL-014094
340B ID
FQHCLA002H
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
2/24/2016
Termination Date
Termination Reason
4/1/2016
Site closure
Contacts
Authorizing Official
Monterey County HEalth Department
Julia C. Edgcomb, Clinic Services Bureau Chief/Director
(831) 796-1386
Primary Contact
Monterey County HEalth Department
Julia C. Edgcomb, Clinic Services Bureau Chief/Director
(831) 796-1386
Addresses
Street Address
710 Old Stage Rd
Salinas, CA 93908-9757
Billing Address
MONTEREY COUNTY DEPT OF HEALTH-ADMINISTRATIVE OFFICES
1615 Bunker Hill Way, Ste. 100
Salinas, CA 93906
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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