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FQHCLA311B Greater Fresno Health Organization (Active)
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Main Details
Name
Greater Fresno Health Organization
Subdivision Name
Cedar University Clinic
Type
Health Center Program Look-Alike
Site ID
BPS-LAL-021855
340B ID
FQHCLA311B
Grant Number
LALCS00041
Additional Details
Current Program Status
Active
Registration Date
11/8/2018
Participating Start Date
1/1/2019
Participating Approval Date
11/26/2018
Last Recertification Date
2/10/2025
Contacts
Authorizing Official
GREATER FRESNO HEALTH ORGANIZATION
BLA MOUANOUTOUA, CEO
(559) 255-6476 Ext: 4290
Primary Contact
Greater Fresno Health Organization
Torey Lam, 340B Manager
(808) 499-5491
Addresses
Street Address
4770 N Cedar Ave
Fresno, CA 93726-1065
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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