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CH091014M COMMUNITY HEALTH ALLIANCE OF PASADENA (Terminated)
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Main Details
Name
COMMUNITY HEALTH ALLIANCE OF PASADENA
Subdivision Name
ChapCare Lake/Elizabeth
Type
HRSA-Funded Health Center
Site ID
BPS-H80-021675
340B ID
CH091014M
Grant Number
H80CS04220
Additional Details
Current Program Status
Terminated
Registration Date
8/12/2019
Participating Start Date
10/1/2019
Participating Approval Date
8/29/2019
Last Recertification Date
2/7/2023
Termination Date
Termination Reason
4/1/2024
Loss of qualifying grant/support
Contacts
Authorizing Official
Community Health Alliance of Pasadena
Deyner Zapata, Interim Chief Executive Officer
(626) 993-1260
Primary Contact
Community Health Alliance of Pasadena
Marcy Chavez, Business Operations Director
(626) 993-1238
Addresses
Street Address
1595 N Lake Ave
Pasadena, CA 91104-2307
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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