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CH09025R CLINICAS DE SALUD DEL PUEBLO, INC. (Terminated)
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Main Details
Name
CLINICAS DE SALUD DEL PUEBLO, INC.
Subdivision Name
Referral Center
Type
HRSA-Funded Health Center
Site ID
BPS-H80-013975
340B ID
CH09025R
Grant Number
H80CS00733
Additional Details
Current Program Status
Terminated
Registration Date
1/6/2016
Participating Start Date
4/1/2016
Participating Approval Date
2/11/2016
Last Recertification Date
Termination Date
Termination Reason
4/1/2016
Site closure
Contacts
Authorizing Official
Clinicas de Salud del Pueblo, Inc.
YVONNE BELL, CEO
(760) 344-9951 Ext: 10102
Primary Contact
Clinicas de Salud del Pueblo, Inc.
YVONNE BELL, CEO
(760) 344-9951 Ext: 10102
Addresses
Street Address
502 West Aten Road, Suite D - 101
Imperial, CA 92251
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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