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CHC10608-17 CENTRAL CITY COMMUNITY HEALTH CENTER, INC (Active)
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Main Details
Name
CENTRAL CITY COMMUNITY HEALTH CENTER, INC
Subdivision Name
Central City Community Health Center, Inc. - Upland
Type
HRSA-Funded Health Center
Site ID
BPS-H80-015287
340B ID
CHC10608-17
Grant Number
H80CS10608
Additional Details
Current Program Status
Active
Registration Date
5/13/2024
Participating Start Date
7/1/2024
Participating Approval Date
6/14/2024
Last Recertification Date
2/24/2025
Contacts
Authorizing Official
Central City Community Health Center, Inc.
Rosemary D. Reyes, CEO
(323) 724-0019 Ext: 1017
Primary Contact
CA- Central City Community Health Center
Daniel Garcia, Financial Analyst
(323) 724-0019 Ext: 2017
Addresses
Street Address
268 McArthur Way STE A
Upland, CA 91786-5615
Billing Address
Central City Community Health Center, Inc.
2019 Saturn St
Monterey Park, CA 91755
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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Starting - 04/01/2016 Termination date - 04/01/2024 Reinstatement date - 07/01/2024
06/14/2024
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