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CHC12849-02 AXIS COMMUNITY HEALTH, INC. (Active)
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Main Details
Name
AXIS COMMUNITY HEALTH, INC.
Subdivision Name
Axis Community Health - Hacienda
Type
HRSA-Funded Health Center
Site ID
BPS-H80-012988
340B ID
CHC12849-02
Grant Number
H80CS12849
Additional Details
Current Program Status
Active
Registration Date
4/4/2016
Participating Start Date
7/1/2016
Participating Approval Date
4/12/2016
Last Recertification Date
2/14/2025
Contacts
Authorizing Official
Axis Community Health
Liz Perez-Howe, CEO
(925) 201-6005
Primary Contact
Axis Community Health
Amit Pabla, Chief Operating Officer
(925) 201-6052
Addresses
Street Address
5925 W Las Positas Blvd UNIT 100
Pleasanton, CA 94588-8537
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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