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CHC22689-05 MARIN CITY HEALTH AND WELLNESS CENTER (Terminated)
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Main Details
Name
MARIN CITY HEALTH AND WELLNESS CENTER
Subdivision Name
Dr. George W. Davis Senior Center
Type
HRSA-Funded Health Center
Site ID
BPS-H80-021562
340B ID
CHC22689-05
Grant Number
H80CS22689
Additional Details
Current Program Status
Terminated
Registration Date
3/7/2018
Participating Start Date
4/1/2018
Participating Approval Date
3/7/2018
Last Recertification Date
3/10/2021
Termination Date
Termination Reason
4/1/2022
Business decision by the Covered Entity
Contacts
Authorizing Official
Marin City Health and Wellness Center
Randi Ganousis, Federal Grants Manager
(314) 757-6788
Primary Contact
Marin City Health and Wellness Center
Lisa Monique Hubbard-Griffith, Executive Assistant
(415) 579-0077
Addresses
Street Address
1751 Carroll Ave
San Francisco, CA 94124-2898
Billing Address
Marin City Health and Wellness Center
630 Drake Avenue
Marin City, CA 94965
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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June 2025
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