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CH09288I Lifelong Medical Care (Active)
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Main Details
Name
Lifelong Medical Care
Subdivision Name
OVER 60 HEALTH CENTER - BERKELEY
Type
HRSA-Funded Health Center
Site ID
BPS-H80-003722
340B ID
CH09288I
Grant Number
H80CS00808
Additional Details
Current Program Status
Active
Registration Date
7/1/1999
Participating Start Date
7/1/1999
Participating Approval Date
4/19/2004
Last Recertification Date
2/14/2025
Contacts
Authorizing Official
Lifelong Medical Care
Cecilia Aviles, Chief Executive Officer
(415) 812-1585
Primary Contact
Lifelong Medical Care
Ka Tung Hui, Pharmacy director
(510) 981-3248
Addresses
Street Address
3260 SACRAMENTO ST
BERKELEY, CA 94702-2739
Billing Address
LifeLong Medical Care
PO Box 11247
Berkeley, CA 94712-2247
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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ADMIN CORREC - WAS CH09288012
08/22/2005
April 2025
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