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CH09071BA Community Health Centers Of The Central Coast, Inc. (Active)
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Main Details
Name
Community Health Centers Of The Central Coast, Inc.
Subdivision Name
COMMUNITY HEALTH CENTERS - PRADO
Type
HRSA-Funded Health Center
Site ID
BPS-H80-027327
340B ID
CH09071BA
Grant Number
H80CS00621
Additional Details
Current Program Status
Active
Registration Date
7/30/2019
Participating Start Date
10/1/2019
Participating Approval Date
8/29/2019
Last Recertification Date
2/11/2025
Contacts
Authorizing Official
community health centers of the central coast, inc
RONALD E. CASTLE, CEO
(805) 459-1835
Primary Contact
Community Health Centers of the Central Coast, Inc.
Derek Yip, 340B Director
(805) 346-3923
Addresses
Street Address
40 Prado Rd
San Luis Obispo, CA 93401-7313
Billing Address
Community Health Centers of the Central Coast, Inc
150 Tejas Place
Nipomo, CA 93444
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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