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CHC28994-01 SAN FERNANDO COMMUNITY HOSPITAL (Active)
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Main Details
Name
SAN FERNANDO COMMUNITY HOSPITAL
Subdivision Name
San Fernando Community Health Center - Mission Hills
Type
HRSA-Funded Health Center
Site ID
BPS-H80-018403
340B ID
CHC28994-01
Grant Number
H80CS28994
Additional Details
Current Program Status
Active
Registration Date
2/6/2017
Participating Start Date
4/1/2017
Participating Approval Date
2/17/2017
Last Recertification Date
2/26/2025
Contacts
Authorizing Official
San Fernando Community Health Center
Audrey L Simons, CEO
(818) 963-5690 Ext: 107
Primary Contact
San Fernando Community Health Center
Vishaal Buch, Physician
(818) 963-5690
Addresses
Street Address
11134 Sepulveda Blvd., Suite 110
Mission Hills, CA 91345
Billing Address
San Fernando Community Health Center
732 Mott Street, suite 100-110
San Fernando, CA 91340
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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