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CHC24113-03 ELICA HEALTH CENTERS (Terminated)
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Main Details
Name
ELICA HEALTH CENTERS
Subdivision Name
Revere Medical Center
Type
HRSA-Funded Health Center
Site ID
BPS-H80-019567
340B ID
CHC24113-03
Grant Number
H80CS24113
Additional Details
Current Program Status
Terminated
Registration Date
10/2/2017
Participating Start Date
1/1/2018
Participating Approval Date
10/3/2017
Last Recertification Date
2/2/2022
Termination Date
Termination Reason
10/1/2022
Site closure
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
752 Revere Street, Unit B
Sacramento, CA 95818-2073
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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