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CH09071AL COMMUNITY HEALTH CENTERS OF THE CENTRAL COAST, INC. (Terminated)
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Main Details
Name
COMMUNITY HEALTH CENTERS OF THE CENTRAL COAST, INC.
Subdivision Name
CHC GROVER BEACH
Type
HRSA-Funded Health Center
Site ID
BPS-H80-013651
340B ID
CH09071AL
Grant Number
H80CS00621
Additional Details
Current Program Status
Terminated
Registration Date
7/2/2015
Participating Start Date
10/1/2015
Participating Approval Date
7/10/2015
Last Recertification Date
1/25/2017
Termination Date
Termination Reason
4/1/2017
Site closure
Contacts
Authorizing Official
community health centers of the central coast, inc
RONALD E. CASTLE, CEO
(805) 459-1835
Primary Contact
Community Health Centers of Central Coast, Inc
Ada Yip, Director of 340B Program
(805) 346-3987
Addresses
Street Address
555 S 13TH ST
GROVER BEACH, CA 93433-2866
Billing Address
COMMUNITY HEALTH CENTERS OF THE CENTRAL COAST, INC
150 TEJAS PL
NIPOMO, CA 93444
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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