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CH09900B EAST VALLEY COMMUNITY HEALTH CENTER INC (Active)
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Main Details
Name
EAST VALLEY COMMUNITY HEALTH CENTER INC
Subdivision Name
EAST VALLEY CHC-POMONA SITE..
Type
HRSA-Funded Health Center
Site ID
BPS-H80-011383
340B ID
CH09900B
Grant Number
H80CS00286
Additional Details
Current Program Status
Active
Registration Date
4/1/1998
Participating Start Date
4/1/1998
Participating Approval Date
5/20/2004
Last Recertification Date
2/12/2025
Contacts
Authorizing Official
East Valley Community Heath Center
ALICIA MARDINI, CEO
(626) 919-4333 Ext: 2220
Primary Contact
East Valley Community Health Center
Lisa Marie De La Loza, Executive Assistant
(626) 919-4333 Ext: 2218
Addresses
Street Address
1555 S Garey Ave
Pomona, CA 91766-5222
Billing Address
East Valley Community Health Center, Inc.
420 South Glendora Avenue
West Covina, CA 91790-3001
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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6/8/06 - ADMIN CORRECTION (WAS CH099000), 5/20/04 - ADMIN CORRECTION - WAS 340B ID#FQHCLA061A
06/08/2006
June 2025
June 2025
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