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CHC10608-08 CENTRAL CITY COMMUNITY HEALTH CENTER, INC. (Terminated)
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Main Details
Name
CENTRAL CITY COMMUNITY HEALTH CENTER, INC.
Subdivision Name
Central City Community Health Center
Type
HRSA-Funded Health Center
Site ID
BPS-H80-007666
340B ID
CHC10608-08
Grant Number
H80CS10608
Additional Details
Current Program Status
Terminated
Registration Date
4/10/2015
Participating Start Date
7/1/2015
Participating Approval Date
4/14/2015
Last Recertification Date
1/30/2020
Termination Date
Termination Reason
7/1/2020
Other
Contacts
Authorizing Official
Central City Community Health Center
Gerardo Ramirez, Controller
(323) 694-2715
Primary Contact
Central City Community Health Center
Omar Moreno, Chief Executive Officer
(323) 724-0019 Ext: 2011
Addresses
Street Address
5968 S.Central Ave
Los Angeles, CA 90001-1100
Billing Address
Central City Community Health Center, Inc. - Admin
1000 San Gabriel Blvd.
Ste. 200
Rosemead, CA 91770-2002
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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