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CH09288AX Lifelong Medical Care (Active)
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Main Details
Name
Lifelong Medical Care
Subdivision Name
LifeLong West County Health Cetner - Pinole
Type
HRSA-Funded Health Center
Site ID
BPS-H80-020794
340B ID
CH09288AX
Grant Number
H80CS00808
Additional Details
Current Program Status
Active
Registration Date
4/9/2018
Participating Start Date
7/1/2018
Participating Approval Date
4/10/2018
Last Recertification Date
2/23/2025
Contacts
Authorizing Official
Lifelong Medical Care
Cecilia Aviles, Chief Executive Officer
(415) 812-1585
Primary Contact
Lifelong Medical Care
Ka Tung Hui, Pharmacy director
(510) 981-3248
Addresses
Street Address
806 San Pablo Ave
Ste 1
Pinole, CA 94564
Billing Address
LifeLong Medical Care
PO Box 11247
Berkeley, CA 94712-2247
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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June 2025
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