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CH09900G EAST VALLEY COMMUNITY HEALTH CENTER INC (Active)
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Main Details
Name
EAST VALLEY COMMUNITY HEALTH CENTER INC
Subdivision Name
East Valley Community Health Center Family Resource Center Dental &ion
Type
HRSA-Funded Health Center
Site ID
BPS-H80-024648
340B ID
CH09900G
Grant Number
H80CS00286
Additional Details
Current Program Status
Active
Registration Date
10/11/2018
Participating Start Date
1/1/2019
Participating Approval Date
10/17/2018
Last Recertification Date
2/12/2025
Contacts
Authorizing Official
East Valley Community Heath Center
ALICIA MARDINI, CEO
(626) 919-4333 Ext: 2220
Primary Contact
East Valley Community Health Center
Lisa Marie De La Loza, Executive Assistant
(626) 919-4333 Ext: 2218
Addresses
Street Address
17800 Renault St
La Puente, CA 91744-5333
Billing Address
East Valley Community Health Center, Inc.
420 South Glendora Avenue
West Covina, CA 91790-3001
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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April 2025
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