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CHC28987-00 COMPLETE CARE COMMUNITY HEALTH CENTER, INC. (Active)
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Main Details
Name
COMPLETE CARE COMMUNITY HEALTH CENTER, INC.
Subdivision Name
COMPLETE CARE COMMUNITY HEALTH CENTER
Type
HRSA-Funded Health Center
Site ID
BPS-H80-015704
340B ID
CHC28987-00
Grant Number
H80CS28987
Additional Details
Current Program Status
Active
Registration Date
10/13/2015
Participating Start Date
1/1/2016
Participating Approval Date
10/23/2015
Last Recertification Date
2/10/2025
Contacts
Authorizing Official
Complete Care Community Health Center, Inc
Karen Akopian, Vice President
(310) 730-6362
Primary Contact
Complete Care Community Health Center, Inc
Dina Lenchitsky, Designee
(310) 730-6362
Addresses
Street Address
2928 E Cesar E. Chavez Ave
Los Angeles, CA 90033-3110
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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10/20/15: email sent to AO that I removed the NPI number from the Medicaid section. 8/16/15 Ann-Medicaid number is the same as the NPI number
10/20/2015
8/16/15 Ann-Medicaid number is the same as the NPI number
10/16/2015
May 2025
May 2025
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