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CH09020G SOUTH CENTRAL FAMILY HEALTH CENTER (Active)
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Main Details
Name
SOUTH CENTRAL FAMILY HEALTH CENTER
Subdivision Name
Wellness Center at the Elizabeth Learning Center
Type
HRSA-Funded Health Center
Site ID
BPS-H80-018833
340B ID
CH09020G
Grant Number
H80CS00265
Additional Details
Current Program Status
Active
Registration Date
4/5/2017
Participating Start Date
7/1/2017
Participating Approval Date
4/18/2017
Last Recertification Date
2/24/2025
Contacts
Authorizing Official
South Central Family Health Center
Genevieve Filmardirossian, Chief Operating Officer- Associate Director
(323) 908-4245
Primary Contact
South Central Family Health Center
Keith Fukuyama, Pharmacy Director
(323) 908-4270
Addresses
Street Address
4811 Elizabeth St.
Cudahy, CA 90201-5299
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
April 2025
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