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FP920544 NORTH COUNTY HEALTH SERVICES (Terminated)
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Main Details
Name
NORTH COUNTY HEALTH SERVICES
Subdivision Name
OCEANSIDE CARLSBAD HEALTH CENTER
Type
Family Planning (Title X only)
340B ID
FP920544
Grant Number
FPHPA096061
Additional Details
Current Program Status
Terminated
Registration Date
1/1/1998
Participating Start Date
1/1/1998
Participating Approval Date
1/1/1998
Last Recertification Date
5/21/2015
Termination Date
Termination Reason
10/1/2015
Site closure
Contacts
Authorizing Official
IRMA COTA, CEO
(760) 736-6755
Primary Contact
North County Health Project, Inc.
Kory Hernandez, Director of Pharmacy and Dental Operations
(760) 736-7061
Addresses
Street Address
605 CROUCH STREET BLDG. C
OCEANSIDE, CA 92054
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
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2/19/10 UPDATED ADDR (WAS 408 CASSIDY ST); 2/19/10 DELETED MEDICAID # (WAS FHC 11886F); 2/3/07 UPDATED ENTITY NAME (WAS OCEANSIDE CARLSBAD HEALTH CENTER); 2/3/07 ADDED SUBDIV NAME; 5/4/06 ADDED MEDICAID #;
02/19/2010
May 2025
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