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CH09311AQ ALTAMED HEALTH SERVICES CORPORATION (Active)
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Main Details
Name
ALTAMED HEALTH SERVICES CORPORATION
Subdivision Name
AltaMed PACE - Covina
Type
HRSA-Funded Health Center
Site ID
BPS-H80-014352
340B ID
CH09311AQ
Grant Number
H80CS00142
Additional Details
Current Program Status
Active
Registration Date
1/5/2015
Participating Start Date
4/1/2015
Participating Approval Date
1/22/2015
Last Recertification Date
2/11/2025
Contacts
Authorizing Official
AltaMed Health Services Corporation
Jose Esparza, Sr. VP, Finance & CFO
(323) 889-7320
Primary Contact
AltaMed Health Services Corporation
Israel Espinoza, Care Management Coordinator
(323) 889-7886
Addresses
Street Address
535 S 2ND AVE
COVINA, CA 91723-3013
Billing Address
AltaMed Health Services Corporation
2040 Camfield Ave.
Los Angeles, CA 90040
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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