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CH09122H BAY AREA COMMUNITY HEALTH (Active)
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Main Details
Name
BAY AREA COMMUNITY HEALTH
Subdivision Name
Main Street Village Clinic
Type
HRSA-Funded Health Center
Site ID
BPS-H80-014853
340B ID
CH09122H
Grant Number
H80CS02326
Additional Details
Current Program Status
Active
Registration Date
10/13/2015
Participating Start Date
1/1/2016
Participating Approval Date
10/16/2015
Last Recertification Date
2/26/2025
Contacts
Authorizing Official
Bay Area Community Health
Zettie D Page, CEO
(760) 902-5249
Primary Contact
Bay Area Community Health
Trina Monterola, Director of Finance and Controller
(510) 304-5360
Addresses
Street Address
3607 Main St Ste B
Fremont, CA 94538
Billing Address
BAY AREA COMMUNITY HEALTH
40910 Fremont Blvd.
Fremont, CA 94538
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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