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CHC24113-14 ELICA HEALTH CENTERS (Active)
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Main Details
Name
ELICA HEALTH CENTERS
Subdivision Name
Elica Health Centers Health On Wheels 2
Type
HRSA-Funded Health Center
Site ID
BPS-H80-021243
340B ID
CHC24113-14
Grant Number
H80CS24113
Additional Details
Current Program Status
Active
Registration Date
1/7/2019
Participating Start Date
4/1/2019
Participating Approval Date
1/10/2019
Last Recertification Date
2/10/2025
Contacts
Authorizing Official
Elica Health Centers
David E Hughes, COO/CFO
(916) 569-8484 Ext: 312
Primary Contact
Elica Health Centers
Christina Osman, Project Director
(916) 569-8484 Ext: 802
Addresses
Street Address
1276 Halyard Dr
West Sacramento, CA 95691
Billing Address
Elica Health Centers
1860 Howe Avenue Suite 440
Sacramento, CA 95825
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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