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CHC08241-22 MISSION CITY COMMUNITY NETWORK, INC. (Active)
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Main Details
Name
MISSION CITY COMMUNITY NETWORK, INC.
Subdivision Name
Mission City Community Network-Barstow
Type
HRSA-Funded Health Center
Site ID
BPS-H80-019015
340B ID
CHC08241-22
Grant Number
H80CS08241
Additional Details
Current Program Status
Active
Registration Date
10/30/2017
Participating Start Date
1/1/2018
Participating Approval Date
10/31/2017
Last Recertification Date
2/10/2025
Contacts
Authorizing Official
Mission City Community Network
Nik Gupta, CEO
(818) 895-3100
Primary Contact
Mission City Community Network
Maureen Ndu, Director of Programs
(818) 895-3100 Ext: 627
Addresses
Street Address
405 E. Buena Vista Street
Barstow, CA 92311
Billing Address
Mission City Community Network
8527 Sepulveda Blvd
North Hills, CA 91343
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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