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CH09167K VISTA COMMUNITY CLINIC (Active)
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Main Details
Name
VISTA COMMUNITY CLINIC
Subdivision Name
Mobile Dental Clinic 2
Type
HRSA-Funded Health Center
Site ID
BPS-H80-018146
340B ID
CH09167K
Grant Number
H80CS00282
Additional Details
Current Program Status
Active
Registration Date
7/5/2017
Participating Start Date
10/1/2017
Participating Approval Date
7/11/2017
Last Recertification Date
2/19/2025
Contacts
Authorizing Official
Vista Community Clinic
Michele Lambert, CFO
(760) 216-5803
Primary Contact
Vista Community Clinic
Debra debra.l.jones@vcc.org Jones, Accountant
(760) 631-5000 Ext: 8173
Addresses
Street Address
30195 Fraser Drive
Lake Elsinore, CA 92530-7006
Billing Address
Vista Community Clinic
1000 Vale Terrace Dr.
Vista, CA 92084
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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