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CHC28985-09 CENTRAL NEIGHBORHOOD HEALTH FOUNDATION (Terminated)
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Main Details
Name
CENTRAL NEIGHBORHOOD HEALTH FOUNDATION
Subdivision Name
Central Neighborhood Health Foundation/ Highland Ave
Type
HRSA-Funded Health Center
Site ID
BPS-H80-021847
340B ID
CHC28985-09
Grant Number
H80CS28985
Additional Details
Current Program Status
Terminated
Registration Date
4/11/2018
Participating Start Date
7/1/2018
Participating Approval Date
4/18/2018
Last Recertification Date
Termination Date
Termination Reason
4/1/2019
Business decision by the Covered Entity
Contacts
Authorizing Official
CENTRAL NEIGHBORHOOD HEALTH FOUNDATION
Kenneth Orduna, CEO
(323) 547-1402
Primary Contact
Central Neighborhood Health Foundation
Eleanor Cochran, Chief Administrative Officer
(626) 488-3111
Addresses
Street Address
742 W Highland Ave
San Bernardino, CA 92405-3839
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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