340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
CH09152M Mountain Health & Community Services, Inc. (Terminated)
Print
Main Details
Name
Mountain Health & Community Services, Inc.
Subdivision Name
Alpine Family Medicine Suite 111
Type
HRSA-Funded Health Center
Site ID
BPS-H80-019539
340B ID
CH09152M
Grant Number
H80CS00284
Additional Details
Current Program Status
Terminated
Registration Date
4/16/2018
Participating Start Date
7/1/2018
Participating Approval Date
4/18/2018
Last Recertification Date
2/7/2020
Termination Date
Termination Reason
7/1/2020
Other
Contacts
Authorizing Official
Mountain Health & Community Services, Inc
Amy Weisiger, CFO
(619) 478-5254 Ext: 229
Primary Contact
Mountain Health and Community Services, Inc.
Maria Ramirez, Credentialing Coordinator
(619) 478-5254 Ext: 238
Addresses
Street Address
1620 Alpine Boulevard Suite 111
Alpine, CA 91901-1103
Billing Address
Mountain Health & Community Services, Inc.
31115 Hwy 94
Campo, CA 91906
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
History
1
Item
0
to
0
of
0
Page:
of 1
Go
Page size:
Change
Comment
Last Updated On
1
Item
0
to
0
of
0
Page:
of 1
Go
Page size:
Change
No records to display.
May 2025
May 2025
week
S
M
T
W
T
F
S
18
27
28
29
30
1
2
3
19
4
5
6
7
8
9
10
20
11
12
13
14
15
16
17
21
18
19
20
21
22
23
24
22
25
26
27
28
29
30
31
23
1
2
3
4
5
6
7
NoFilter
Contains
DoesNotContain
StartsWith
EndsWith
EqualTo
NotEqualTo
GreaterThan
LessThan
GreaterThanOrEqualTo
LessThanOrEqualTo
Between
NotBetween
IsEmpty
NotIsEmpty
IsNull
NotIsNull
Custom
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session