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CHC08241-21 MISSION CITY COMMUNITY NETWORK, INC. (Active)
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Main Details
Name
MISSION CITY COMMUNITY NETWORK, INC.
Subdivision Name
Mission City Community Network - Victorville2
Type
HRSA-Funded Health Center
Site ID
BPS-H80-018139
340B ID
CHC08241-21
Grant Number
H80CS08241
Additional Details
Current Program Status
Active
Registration Date
1/17/2017
Participating Start Date
4/1/2017
Participating Approval Date
2/16/2017
Last Recertification Date
2/10/2025
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
14357 7th Street
Victorville, CA 92395-9239
Billing Address
Mission City Community Network, Inc.
8527 Sepulveda Blvd.
North Hills, CA 91343
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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