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CH09311AY AltaMed Health Services Corporation (Active)
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Main Details
Name
AltaMed Health Services Corporation
Subdivision Name
AltaMed Medical & Dental Group: South Gate
Type
HRSA-Funded Health Center
Site ID
BPS-H80-017069
340B ID
CH09311AY
Grant Number
H80CS00142
Additional Details
Current Program Status
Active
Registration Date
7/7/2017
Participating Start Date
10/1/2017
Participating Approval Date
7/11/2017
Last Recertification Date
2/11/2025
Contacts
Authorizing Official
AltaMed Health Services Corporation
Jose Esparza, Sr. VP, Finance & CFO
(323) 889-7320
Primary Contact
AltaMed Health Services Corporation
Israel Espinoza, Care Management Coordinator
(323) 889-7886
Addresses
Street Address
8627 Atlantic Avenue
South Gate, CA 90280-3501
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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