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CH09071AZ Community Health Centers Of The Central Coast, Inc. (Terminated)
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Main Details
Name
Community Health Centers Of The Central Coast, Inc.
Subdivision Name
Community Health Centers - Advanced Women's Health
Type
HRSA-Funded Health Center
Site ID
BPS-H80-021648
340B ID
CH09071AZ
Grant Number
H80CS00621
Additional Details
Current Program Status
Terminated
Registration Date
4/2/2018
Participating Start Date
7/1/2018
Participating Approval Date
4/3/2018
Last Recertification Date
2/4/2019
Termination Date
Termination Reason
7/1/2019
Site closure
Contacts
Authorizing Official
community health centers of the central coast, inc
RONALD E. CASTLE, CEO
(805) 459-1835
Primary Contact
Community Health Centers of Central Coast, Inc
Ada Yip, Director of 340B Program
(805) 346-3987
Addresses
Street Address
1510 E. Main Street, Suite 104B
Santa Maria, CA 93454
Billing Address
Community Health Centers of the Central Coasat, Inc
150 Tejas Place
Nipomo, CA 93444
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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