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CH09354R NEIGHBORHOOD HEALTHCARE (Terminated)
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Main Details
Name
NEIGHBORHOOD HEALTHCARE
Subdivision Name
Grossmont Pediatrics
Type
HRSA-Funded Health Center
Site ID
BPS-H80-024999
340B ID
CH09354R
Grant Number
H80CS00285
Additional Details
Current Program Status
Terminated
Registration Date
4/4/2019
Participating Start Date
7/1/2019
Participating Approval Date
4/10/2019
Last Recertification Date
2/20/2024
Termination Date
Termination Reason
4/1/2025
Business decision by the Covered Entity
Contacts
Authorizing Official
Neighborhood Healthcare
LISA DAIGLE, CFO
(760) 737-6901
Primary Contact
Neighborhood Healthcare
Christa Grant, Director of Finance
(442) 257-2082
Addresses
Street Address
6924 University Ave
La Mesa, CA 91942-5922
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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May 2025
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