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CH09188H Bay Clinic, Inc. (Terminated)
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Main Details
Name
Bay Clinic, Inc.
Subdivision Name
Hilo Women's Health Center
Type
HRSA-Funded Health Center
Site ID
BPS-H80-009370
340B ID
CH09188H
Grant Number
H80CS00837
Additional Details
Current Program Status
Terminated
Registration Date
1/2/2020
Participating Start Date
4/1/2020
Participating Approval Date
1/10/2020
Last Recertification Date
2/23/2023
Termination Date
Termination Reason
1/1/2024
Other
Contacts
Authorizing Official
Bay Clinic, Inc
Christian Kimo Alameda, Chief Executive Officer
(808) 930-4083
Primary Contact
BayClinicInc
glenn andrew faust, pharmacist
(808) 930-0488
Addresses
Street Address
73 Puuhonu Pl
Hilo, HI 96720-2060
Billing Address
Bay Clinic, Inc.
450 Kilauea Ave.
105
Hilo, HI 96720
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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April 2025
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