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CHC28992-03 Sac Health System (Active)
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Main Details
Name
Sac Health System
Subdivision Name
SACHS-Frazee Clinic
Type
HRSA-Funded Health Center
Site ID
BPS-H80-015539
340B ID
CHC28992-03
Grant Number
H80CS28992
Additional Details
Current Program Status
Active
Registration Date
4/15/2018
Participating Start Date
7/1/2018
Participating Approval Date
4/19/2018
Last Recertification Date
2/11/2025
Contacts
Authorizing Official
SACHS
bonnie inquinn chi-lum, CMO
(951) 235-0642
Primary Contact
SAC Health
Tasha Amick, Director of Billing
(909) 219-8665 Ext: 4230
Addresses
Street Address
488 S K St
San Bernardino, CA 92410-2641
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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