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CHC28994-00 SAN FERNANDO COMMUNITY HOSPITAL (Active)
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Main Details
Name
SAN FERNANDO COMMUNITY HOSPITAL
Subdivision Name
San Fernando Community Health Center
Type
HRSA-Funded Health Center
Site ID
BPS-H80-015520
340B ID
CHC28994-00
Grant Number
H80CS28994
Additional Details
Current Program Status
Active
Registration Date
10/14/2015
Participating Start Date
1/1/2016
Participating Approval Date
10/23/2015
Last Recertification Date
2/26/2025
Contacts
Authorizing Official
San Fernando Community Health Center
Audrey L Simons, CEO
(818) 963-5690 Ext: 107
Primary Contact
San Fernando Community Health Center
Heidi G Lennartz, Director Special Projects
(818) 963-5690 Ext: 152
Addresses
Street Address
732 Mott Street, Suite 100
San Fernando, CA 91340-4237
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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April 2025
April 2025
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