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CHC24113-08 ELICA HEALTH CENTERS (Active)
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Main Details
Name
ELICA HEALTH CENTERS
Subdivision Name
Elica Health Centers - V Street Medical Center
Type
HRSA-Funded Health Center
Site ID
BPS-H80-019174
340B ID
CHC24113-08
Grant Number
H80CS24113
Additional Details
Current Program Status
Active
Registration Date
10/2/2017
Participating Start Date
1/1/2018
Participating Approval Date
10/3/2017
Last Recertification Date
2/10/2025
Contacts
Authorizing Official
Elica Health Centers
David E Hughes, COO/CFO
(916) 569-8484 Ext: 312
Primary Contact
Elica Health Centers
Christina Osman, Project Director
(916) 569-8484 Ext: 802
Addresses
Street Address
923 V St
Sacramento, CA 95818
Billing Address
Elica Health Centers
1860 Howe Avenue Suite 440
Sacramento, CA 95825
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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