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CHC10608-24 CENTRAL CITY COMMUNITY HEALTH CENTER, INC. (Terminated)
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Main Details
Name
CENTRAL CITY COMMUNITY HEALTH CENTER, INC.
Subdivision Name
Central City Community Health Center - Indio
Type
HRSA-Funded Health Center
Site ID
BPS-H80-018251
340B ID
CHC10608-24
Grant Number
H80CS10608
Additional Details
Current Program Status
Terminated
Registration Date
10/19/2017
Participating Start Date
1/1/2018
Participating Approval Date
10/20/2017
Last Recertification Date
1/30/2020
Termination Date
Termination Reason
7/1/2020
Site closure
Contacts
Authorizing Official
Central City Community Health Center
Gerardo Ramirez, Controller
(323) 694-2715
Primary Contact
Central City Community Health Center
Omar Moreno, Chief Executive Officer
(323) 724-0019 Ext: 2011
Addresses
Street Address
81709 Dr. Carreon Blvd.
Ste. D-1
Indio, CA 92201-5578
Billing Address
Central City Community Health Center, Inc.
1000 San Gabriel Blvd.
Ste. 200
Rosemead, CA 91770
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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