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CHC28986-01 Community Medical Wellness Centers USA (Active)
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Main Details
Name
Community Medical Wellness Centers USA
Subdivision Name
Community Medical Wellness Centers USA-Sylmar
Type
HRSA-Funded Health Center
Site ID
BPS-H80-021700
340B ID
CHC28986-01
Grant Number
H80CS28986
Additional Details
Current Program Status
Active
Registration Date
7/10/2019
Participating Start Date
10/1/2019
Participating Approval Date
8/29/2019
Last Recertification Date
2/11/2025
Contacts
Authorizing Official
Community Medical Wellness Centers
Sompia Paigne, CEO
(562) 270-0324
Primary Contact
CMWC USA
Bakheng Pheng, CMO
(562) 270-0324
Addresses
Street Address
14117 Hubbard St. Ste. M
Sylmar, CA 91342-4700
Billing Address
Community Medical Wellness Centers, USA
1360 E. Anaheim St
suite 101
Long Beach, CA 90813
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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