340B Drug Pricing Program Database

Name

CENTRAL NEIGHBORHOOD HEALTH FOUNDATION

Subdivision Name

Central Neighborhood Health Foundation H Street Clinic

Type

Health Center Program Look-Alike

Site ID

BPS-LAL-014763

340B ID

FQHCLA278C

Grant Number

LALCS00088

Current Program Status

Terminated

Registration Date

10/4/2016

Participating Start Date

1/1/2017

Participating Approval Date

10/31/2016

Last Recertification Date

2/7/2018

Termination Date
Termination Reason

4/1/2018
Business decision by the Covered Entity

Authorizing Official

CENTRAL NEIGHBORHOOD HEALTH FOUNDATION
Bassett Brown, Chief Executive Officer
(626) 252-5646

Primary Contact

Central Neighborhood Health Foundation
Eleanor Cochran, Chief Administrative Officer
(626) 488-3111

Street Address

1329 N H ST
SAN BERNARDINO, CA 92405-5039

Billing Address

CENTRAL NEIGHBORHOOD HEALTH FOUNDATION
714 WEST OLYMPIC BLVD
suite 801
LOS ANGELES, CA 90015