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CH09078V Community Medical Centers, Inc. (Active)
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Main Details
Name
Community Medical Centers, Inc.
Subdivision Name
Community Medical Centers, Waterloo
Type
HRSA-Funded Health Center
Site ID
BPS-H80-014346
340B ID
CH09078V
Grant Number
H80CS00138
Additional Details
Current Program Status
Active
Registration Date
4/3/2015
Participating Start Date
7/1/2015
Participating Approval Date
4/17/2015
Last Recertification Date
2/21/2025
Contacts
Authorizing Official
Community Medical Centers, inc.
Greg Diederich, CEO
(209) 373-2826
Primary Contact
Community Medical Centers, Inc.
Pak Hui, Director of Pharmacy
(209) 940-4677
Addresses
Street Address
1031 Waterloo Rd.
Stockton, CA 95205-4256
Billing Address
Community Medical Centers, Inc.
PO Box 779
Stockton, CA 95201-0779
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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May 2025
May 2025
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