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CH09078AB COMMUNITY MEDICAL CENTERS, INC. (Active)
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Main Details
Name
COMMUNITY MEDICAL CENTERS, INC.
Subdivision Name
Community Medical Centers, West Lane
Type
HRSA-Funded Health Center
Site ID
BPS-H80-019260
340B ID
CH09078AB
Grant Number
H80CS00138
Additional Details
Current Program Status
Active
Registration Date
1/4/2019
Participating Start Date
4/1/2019
Participating Approval Date
1/7/2019
Last Recertification Date
2/21/2025
Contacts
Authorizing Official
Community Medical Centers, inc.
Greg Diederich, CEO
(209) 373-2826
Primary Contact
Community Medical Centers, Inc.
Pak Hui, Director of Pharmacy
(209) 940-4677
Addresses
Street Address
7912 West Lane
Suite 221
Stockton, CA 95210-3159
Billing Address
Community Medical Centers, Inc
PO Box 779
Stockton, CA 95201-0779
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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May 2025
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