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CH09078Z COMMUNITY MEDICAL CENTERS, INC. (Active)
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Main Details
Name
COMMUNITY MEDICAL CENTERS, INC.
Subdivision Name
Community Medical Centers, Tracy Dental
Type
HRSA-Funded Health Center
Site ID
BPS-H80-021441
340B ID
CH09078Z
Grant Number
H80CS00138
Additional Details
Current Program Status
Active
Registration Date
3/6/2018
Participating Start Date
4/1/2018
Participating Approval Date
3/8/2018
Last Recertification Date
2/21/2025
Contacts
Authorizing Official
Community Medical Centers, inc.
Greg Diederich, CEO
(209) 373-2826
Primary Contact
Community Medical Centers, Inc.
Pak Hui, Director of Pharmacy
(209) 940-4677
Addresses
Street Address
2135 N. Tracy Boulevard
Tracy, CA 95376-2424
Billing Address
Community Medical Centers, Inc.
PO Box 779
Stockton, CA 95201-0779
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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May 2025
May 2025
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