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CHC30722-00 UNIVERSAL COMMUNITY HEALTH CENTER (Active)
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Main Details
Name
UNIVERSAL COMMUNITY HEALTH CENTER
Subdivision Name
Universal Community Health Center- Washington
Type
HRSA-Funded Health Center
Site ID
BPS-H80-019161
340B ID
CHC30722-00
Grant Number
H80CS30722
Additional Details
Current Program Status
Active
Registration Date
5/16/2019
Participating Start Date
5/16/2019
Participating Approval Date
5/16/2019
Last Recertification Date
2/12/2025
Contacts
Authorizing Official
Universal Community Health Center
Edgar Alexander Chavez, CEO
(323) 485-0467
Primary Contact
Universal Community Health Center
Vanessa Luna Jones, Director of Compliance/Risk
(323) 533-0612
Addresses
Street Address
1005 E. Washington Blvd.
Los Angeles, CA 90021
Billing Address
Universal Community Health Center
2801 S. San Pedro St
Los Angeles, CA 90011
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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