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CH092143Z Los Angeles Christian Health Centers (Terminated)
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Main Details
Name
Los Angeles Christian Health Centers
Subdivision Name
Los Angeles Christian Health Centers-Exodus Recovery IMHT
Type
HRSA-Funded Health Center
Site ID
BPS-H80-013008
340B ID
CH092143Z
Grant Number
H80CS06674
Additional Details
Current Program Status
Terminated
Registration Date
4/11/2017
Participating Start Date
7/1/2017
Participating Approval Date
4/19/2017
Last Recertification Date
Termination Date
Termination Reason
1/1/2018
Site closure
Contacts
Authorizing Official
Los Angeles Christian Health Centers
Bettina Lewis, Chief Operations Officer
(213) 893-1960
Primary Contact
Los Angeles Christian Health Centers
Kelly Chen, Pharmacy Director
(323) 268-8391
Addresses
Street Address
8511 1/2 S. Vermont Ave., Rms 1 &
Los Angeles, CA 90044-3472
Billing Address
Los Angeles Christian Health Centers
202 W 1st
Suite #4-0435
Los Angeles, CA 90012
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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