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CHC08241-15 MISSION CITY COMMUNITY NETWORK, INC. (Terminated)
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Main Details
Name
MISSION CITY COMMUNITY NETWORK, INC.
Subdivision Name
Mission City Community Network - Anaheim
Type
HRSA-Funded Health Center
Site ID
BPS-H80-017764
340B ID
CHC08241-15
Grant Number
H80CS08241
Additional Details
Current Program Status
Terminated
Registration Date
7/12/2016
Participating Start Date
10/1/2016
Participating Approval Date
7/15/2016
Last Recertification Date
2/1/2022
Termination Date
Termination Reason
4/1/2023
Site closure
Contacts
Authorizing Official
Mission City Community Network
Nik Gupta, CEO
(818) 895-3100
Primary Contact
Mission City Community Network
Maureen Ndu, Director of Programs
(818) 895-3100 Ext: 627
Addresses
Street Address
1661 W. Broadway Blvd.
Anaheim, CA 92802
Billing Address
Mission City Community Network
8527 Sepulveda Blvd.
North Hills, CA 91343
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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