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CH092134M Eisner Health Intergenerational Health Center (Active)
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Main Details
Name
Eisner Health Intergenerational Health Center
Subdivision Name
Eisner Health Intergenerational Health Center
Type
HRSA-Funded Health Center
Site ID
BPS-H80-019073
340B ID
CH092134M
Grant Number
H80CS04223
Additional Details
Current Program Status
Active
Registration Date
8/12/2016
Participating Start Date
10/1/2016
Participating Approval Date
8/17/2016
Last Recertification Date
2/18/2025
Contacts
Authorizing Official
Eisner Health
Monica Gutierrez-McCarthy, CEO
(213) 342-3325
Primary Contact
Eisner Health
Nicole Marie Tavares-Kuhn, Director, Pharmacy Services
(213) 588-0467
Addresses
Street Address
15477 Ventura Blvd
Ste 300
Sherman Oaks, CA 91403
Billing Address
Eisner Health
1530 S Olive St
Los Angeles, CA 90015
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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