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FQHCLA002L COUNTY OF MONTEREY (Terminated)
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Main Details
Name
COUNTY OF MONTEREY
Subdivision Name
Bienestar-King City
Type
Health Center Program Look-Alike
Site ID
BPS-LAL-014641
340B ID
FQHCLA002L
Grant Number
LALCS00049
Additional Details
Current Program Status
Terminated
Registration Date
4/1/2015
Participating Start Date
7/1/2015
Participating Approval Date
4/21/2015
Last Recertification Date
2/23/2016
Termination Date
Termination Reason
7/1/2016
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
200 BROADWAY ST, STE 70
KING CITY, CA 93930-2865
Billing Address
County of Monterey
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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