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CH09020E SOUTH CENTRAL FAMILY HEALTH CENTER (Active)
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Main Details
Name
SOUTH CENTRAL FAMILY HEALTH CENTER
Subdivision Name
SCFHC Medical/Dental Annex
Type
HRSA-Funded Health Center
Site ID
BPS-H80-021272
340B ID
CH09020E
Grant Number
H80CS00265
Additional Details
Current Program Status
Active
Registration Date
1/13/2016
Participating Start Date
4/1/2016
Participating Approval Date
2/10/2016
Last Recertification Date
2/24/2025
Contacts
Authorizing Official
South Central Family Health Center
Genevieve Filmardirossian, Chief Operating Officer- Associate Director
(323) 908-4245
Primary Contact
South Central Family Health Center
Keith Fukuyama, Pharmacy Director
(323) 908-4270
Addresses
Street Address
4415 S. Central Avenue, Suite 200
Los Angeles, CA 90011-3629
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
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