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CH09071AY Community Health Centers Of The Central Coast, Inc. (Active)
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Main Details
Name
Community Health Centers Of The Central Coast, Inc.
Subdivision Name
COMMUNITY HEALTH CENTERS COASTAL DENTAL
Type
HRSA-Funded Health Center
Site ID
BPS-H80-021327
340B ID
CH09071AY
Grant Number
H80CS00621
Additional Details
Current Program Status
Active
Registration Date
4/2/2018
Participating Start Date
7/1/2018
Participating Approval Date
4/3/2018
Last Recertification Date
2/11/2025
Contacts
Authorizing Official
community health centers of the central coast, inc
RONALD E. CASTLE, CEO
(805) 459-1835
Primary Contact
Community Health Centers of the Central Coast, Inc.
Derek Yip, 340B Director
(805) 346-3923
Addresses
Street Address
1304 South Miller St.
Santa Maria, CA 93454
Billing Address
Community Health Centers of the Central Coast, Inc
150 Tejas Place
Nipomo, CA 93444
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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