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FQHCLA373 HEALTH ACCESS FOR ALL INC. (Terminated)
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Main Details
Name
HEALTH ACCESS FOR ALL INC.
Subdivision Name
Angeles Community Health Center - 7th Street
Type
Health Center Program Look-Alike
Site ID
BPS-LAL-022002
340B ID
FQHCLA373
Grant Number
LALCS31681
Additional Details
Current Program Status
Terminated
Registration Date
7/10/2018
Participating Start Date
10/1/2018
Participating Approval Date
8/1/2018
Last Recertification Date
1/31/2020
Termination Date
Termination Reason
7/1/2020
Change of covered entity type (non-hospital)
Contacts
Authorizing Official
Angeles Community Health Center
Peyman Banooni, CEO
(213) 228-3808
Primary Contact
Angeles Community Health Center
Mariana Canela, Administrator
(213) 413-2222 Ext: 2120
Addresses
Street Address
1919 W 7th Street, 2nd Floor
Los Angeles, CA 90057-4103
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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