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CHC26624-04 POMONA COMMUNITY HEALTH CENTER (Active)
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Main Details
Name
POMONA COMMUNITY HEALTH CENTER
Subdivision Name
Ontario Archibald
Type
HRSA-Funded Health Center
Site ID
BPS-H80-019265
340B ID
CHC26624-04
Grant Number
H80CS26624
Additional Details
Current Program Status
Active
Registration Date
4/4/2017
Participating Start Date
7/1/2017
Participating Approval Date
4/18/2017
Last Recertification Date
2/14/2025
Contacts
Authorizing Official
Pomona Community Health Center
David M Kadar, Chief Executive Officer
(909) 630-7939
Primary Contact
Parktree Community Health Center
Juliet V Dominguez, Director of Risk Management & Compliance
(909) 469-9013 Ext: 6037
Addresses
Street Address
2680 E. Riverside Drive
Ontario, CA 91761
Billing Address
Pomona Community Health Center
1450 E. Holt Ave.
Pomona, CA 91767
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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