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CHC28986-00 COMMUNITY MEDICAL WELLNESS CENTERS USA (Active)
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Main Details
Name
COMMUNITY MEDICAL WELLNESS CENTERS USA
Subdivision Name
Community Medical Wellness Centers USA
Type
HRSA-Funded Health Center
Site ID
BPS-H80-015505
340B ID
CHC28986-00
Grant Number
H80CS28986
Additional Details
Current Program Status
Active
Registration Date
10/5/2016
Participating Start Date
1/1/2017
Participating Approval Date
12/1/2016
Last Recertification Date
2/11/2025
Contacts
Authorizing Official
Community Medical Wellness Centers
Sompia Paigne, CEO
(562) 270-0324
Primary Contact
CMWC USA
Bakheng Pheng, CMO
(562) 270-0324
Addresses
Street Address
1360 E ANAHEIM ST, Suite 101
LONG BEACH, CA 90813-5514
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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April 2025
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