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FQHCLA247E HEALTH AND LIFE ORGANIZATION, INC. (H.A.L.O.) (Terminated)
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Main Details
Name
HEALTH AND LIFE ORGANIZATION, INC. (H.A.L.O.)
Subdivision Name
Sacramento Community Clinics- B. Teri Burns Clinic
Type
Health Center Program Look-Alike
Site ID
BPS-LAL-019620
340B ID
FQHCLA247E
Grant Number
LALCS00018
Additional Details
Current Program Status
Terminated
Registration Date
1/2/2020
Participating Start Date
4/1/2020
Participating Approval Date
3/2/2020
Last Recertification Date
1/30/2024
Termination Date
Termination Reason
4/1/2025
Site closure
Contacts
Authorizing Official
Health and Life Organization, Inc.
JERRY T. BLIATOUT, CEO
(916) 428-3788 Ext: 4236
Primary Contact
Health and Life Organization, Inc.
Melissa Yang, 340B Compliance Specialist
(916) 642-1867 Ext: 4011
Addresses
Street Address
3301 Fong Ranch Road
Sacramento, CA 95834
Billing Address
Health and Life Organization, Inc. (H.A.L.O.) dba Sacramento Community Clinic
3030 Explorer Drive
Sacramento, CA 95827
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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May 2025
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