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CH090850 AMPLA HEALTH (Active)
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Main Details
Name
AMPLA HEALTH
Subdivision Name
Ampla Health Lindhurst Medical, Dental, & Xpress Care
Type
HRSA-Funded Health Center
Site ID
BPS-H80-000154
340B ID
CH090850
Grant Number
H80CS00765
Additional Details
Current Program Status
Active
Registration Date
1/1/1998
Participating Start Date
1/1/1998
Participating Approval Date
7/19/2005
Last Recertification Date
2/14/2025
Contacts
Authorizing Official
Ampla Health
Benjamin H. Flores, President & CEO
(530) 674-4261 Ext: 1155
Primary Contact
Ampla Health
Jessica Barber, Pharmacy Administrator
(530) 520-6042
Addresses
Street Address
4941 Olivehurst Ave
Olivehurst, CA 95961-4225
Billing Address
Ampla Health
935 MARKET STREET
YUBA CITY, CA 95991
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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CORRECT ZIP CODE, 7/19/05 - CORRECTED 340B ID# (WAS CH090850B)
07/19/2005
May 2025
May 2025
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