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CH09103L ASIAN HEALTH SERVICES (Terminated)
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Main Details
Name
ASIAN HEALTH SERVICES
Subdivision Name
San Leandro Mental Health Clinic
Type
HRSA-Funded Health Center
Site ID
BPS-H80-020873
340B ID
CH09103L
Grant Number
H80CS00773
Additional Details
Current Program Status
Terminated
Registration Date
1/15/2019
Participating Start Date
4/1/2019
Participating Approval Date
1/16/2019
Last Recertification Date
2/3/2021
Termination Date
Termination Reason
10/1/2021
Site closure
Contacts
Authorizing Official
Asian Health Services
SHERRY HIROTA, CEO
(510) 735-3111
Primary Contact
Asian Health Services
Karen Matsuoka, Compliance & Administrative Operations Manager
(510) 735-3115
Addresses
Street Address
433 Callan Avenue, Suite 301
San Leandro, CA 94577-4641
Billing Address
Asian Health Services
101 8th St, Ste 100
Oakland, CA 94607
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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