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CH091014H COMMUNITY HEALTH ALLIANCE OF PASADENA (Terminated)
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Main Details
Name
COMMUNITY HEALTH ALLIANCE OF PASADENA
Subdivision Name
ChapCare Lincoln
Type
HRSA-Funded Health Center
Site ID
BPS-H80-017042
340B ID
CH091014H
Grant Number
H80CS04220
Additional Details
Current Program Status
Terminated
Registration Date
4/12/2016
Participating Start Date
7/1/2016
Participating Approval Date
4/13/2016
Last Recertification Date
2/7/2018
Termination Date
Termination Reason
7/1/2018
Other
Contacts
Authorizing Official
Community Health Alliance of Pasadena (ChapCare)
MARGARET B. MARTINEZ, Chief Executive Officer
(626) 993-1227
Primary Contact
Community Health Alliance of Pasadena
Deyner Zapata, Interim Chief Executive Officer
(626) 993-1260
Addresses
Street Address
2055 LINCOLN AVE
PASADENA, CA 91103-1324
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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