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CH09067L NORTH EAST MEDICAL SERVICES (Terminated)
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Main Details
Name
NORTH EAST MEDICAL SERVICES
Subdivision Name
NORTH EAST MEDICAL SERVICES - ELLIS
Type
HRSA-Funded Health Center
Site ID
BPS-H80-019758
340B ID
CH09067L
Grant Number
H80CS00221
Additional Details
Current Program Status
Terminated
Registration Date
7/10/2017
Participating Start Date
10/1/2017
Participating Approval Date
7/13/2017
Last Recertification Date
2/12/2020
Termination Date
Termination Reason
4/1/2021
Site closure
Contacts
Authorizing Official
NORTH EAST MEDICAL SERVICES
EDDIE W. CHAN, PRESIDENT AND CEO
(415) 391-9686 Ext: 5905
Primary Contact
nems
BEVERLEY CHAN, PHARMACY DIRECTOR
(415) 391-9686 Ext: 5731
Addresses
Street Address
518 Ellis St
San Francisco, CA 94109-8103
Billing Address
NORTH EAST MEDICAL SERVICES
1520 STOCKTON ST
ATTN: PHARMACY
SAN FRANCISCO, CA 94133-3354
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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