340B Drug Pricing Program Database

Name

CENTRAL CITY COMMUNITY HEALTH CENTER, INC.

Subdivision Name

Central City Community Health Center - 2nd Admin Site

Type

HRSA-Funded Health Center

Site ID

BPS-H80-013857

340B ID

CHC10608-09

Grant Number

H80CS10608

Current Program Status

Terminated

Registration Date

4/10/2015

Participating Start Date

7/1/2015

Participating Approval Date

4/14/2015

Last Recertification Date

2/22/2017

Termination Date
Termination Reason

4/1/2018
Site closure

Authorizing Official

Central City Community Health Center Inc.
Sommer R Kaskowitz, Chief Nursing Officer
(323) 724-0019 Ext: 1026

Primary Contact

Central City Community Health Center Inc.
Sommer R Kaskowitz, Chief Nursing Officer
(323) 724-0019 Ext: 1026

Street Address

5260 POMONA BLVD
LOS ANGELES, CA 90022-1713

Billing Address

Central City Community Health Center, Inc. - Admin
5233 E. Beverly Blvd.
Los Angeles, CA 90022-2002