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CH09194D MENDOCINO COMMUNITY HEALTH CLINIC, INC. (Active)
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Main Details
Name
MENDOCINO COMMUNITY HEALTH CLINIC, INC.
Subdivision Name
Dora Street Health Center
Type
HRSA-Funded Health Center
Site ID
BPS-H80-022199
340B ID
CH09194D
Grant Number
H80CS00628
Additional Details
Current Program Status
Active
Registration Date
10/8/2018
Participating Start Date
1/1/2019
Participating Approval Date
10/10/2018
Last Recertification Date
2/25/2025
Contacts
Authorizing Official
Mendocino Community Health Clinic
Rod Grainger, CEO
(707) 472-4667
Primary Contact
Mendocino Community Health Clinic
Oscar Murrillo, 340B Program Analyst
(707) 472-4518
Addresses
Street Address
1165 S Dora St Ste A1
Ukiah, CA 95482
Billing Address
Mendocino Community Health Clinic, Inc.
333 Laws Ave
Ukiah, CA 95482
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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June 2025
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