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CH09224J SHASTA COMMUNITY HEALTH CENTER (Terminated)
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Main Details
Name
SHASTA COMMUNITY HEALTH CENTER
Subdivision Name
SHASTA COMMUNITY MATERNITY CENTER
Type
HRSA-Funded Health Center
Site ID
BPS-H80-024971
340B ID
CH09224J
Grant Number
H80CS00832
Additional Details
Current Program Status
Terminated
Registration Date
1/7/2019
Participating Start Date
1/7/2019
Participating Approval Date
1/7/2019
Last Recertification Date
2/1/2024
Termination Date
Termination Reason
7/1/2024
Site closure
Contacts
Authorizing Official
Shasta Community Health Center
Brandon Thornock, Chief Executive Officer
(530) 229-5074
Primary Contact
Shasta Community Health Center
Dan Santi, Chief Financial Officer
(530) 246-5778
Addresses
Street Address
1900 Railroad Ave
Redding, CA 96001-1802
Billing Address
SHASTA COMMUNITY HEALTH CENTER
PO BOX 992790
REDDING, CA 96099-2790
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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