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CH091037S ST. JOHN'S COMMUNITY HEALTH (Active)
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Main Details
Name
ST. JOHN'S COMMUNITY HEALTH
Subdivision Name
SJCH Traynham Health Center
Type
HRSA-Funded Health Center
Site ID
BPS-H80-014983
340B ID
CH091037S
Grant Number
H80CS00873
Additional Details
Current Program Status
Active
Registration Date
7/7/2015
Participating Start Date
10/1/2015
Participating Approval Date
7/10/2015
Last Recertification Date
2/10/2025
Contacts
Authorizing Official
St. John's Community Health
James Mangia, CEO
(323) 541-1600 Ext: 4000
Primary Contact
St. John Community Center
Peter Nabil Tawfik, Chief of Pharmacy Officer
(615) 957-8115
Addresses
Street Address
326 W. 23rd Street
Los Angeles, CA 90007-2618
Billing Address
ST. JOHN'S COMMUNITY HEALTH
808 W 58th St
Los Angeles, CA 90034-3632
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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