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CH09882S Children's Clinic 'serving Children And Their Families' The (Active)
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Main Details
Name
Children's Clinic 'serving Children And Their Families' The
Subdivision Name
TCC Family Heatlh
Type
HRSA-Funded Health Center
Site ID
BPS-H80-027520
340B ID
CH09882S
Grant Number
H80CS00264
Additional Details
Current Program Status
Active
Registration Date
7/9/2019
Participating Start Date
10/1/2019
Participating Approval Date
7/11/2019
Last Recertification Date
2/13/2025
Contacts
Authorizing Official
The Children's Clinic, 'Serving Children and Their Families'
Elisa Nicholas, Chief Executive Officer
(562) 264-3551 Ext: 5622643985
Primary Contact
The Children's Clinic, "Serving Children and Their Families"
CESAR VAZQUEZ, Director of Operations
(562) 264-4676
Addresses
Street Address
540 E Artesia Blvd
Long Beach, CA 90805-1476
Billing Address
The Children's Clinic, "Serving Children & Their Families"
701 E 28th Street
Suite 200
Long Beach, CA 90806
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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