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CH09078AD COMMUNITY MEDICAL CENTERS, INC. (Terminated)
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Main Details
Name
COMMUNITY MEDICAL CENTERS, INC.
Subdivision Name
Community Medical Centers, Edison High School
Type
HRSA-Funded Health Center
Site ID
BPS-H80-027253
340B ID
CH09078AD
Grant Number
H80CS00138
Additional Details
Current Program Status
Terminated
Registration Date
5/13/2019
Participating Start Date
7/1/2019
Participating Approval Date
5/14/2019
Last Recertification Date
Termination Date
Termination Reason
1/1/2020
Business decision by the Covered Entity
Contacts
Authorizing Official
Community Medical Centers, Inc.
Christine Noguera, CEO
(209) 373-2826
Primary Contact
Community Medical Centers, Inc.
Pak Hui, Director of Pharmacy
(209) 940-4677
Addresses
Street Address
1425 S Center St
Stockton, CA 95206-2016
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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