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CH09107BV San Francisco Community Clinic Consortium (Terminated)
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Main Details
Name
San Francisco Community Clinic Consortium
Subdivision Name
Castro Mission Health Center @ ZSFG
Type
HRSA-Funded Health Center
Site ID
BPS-H80-027951
340B ID
CH09107BV
Grant Number
H80CS00049
Additional Details
Current Program Status
Terminated
Registration Date
1/7/2020
Participating Start Date
4/1/2020
Participating Approval Date
3/6/2020
Last Recertification Date
1/31/2023
Termination Date
Termination Reason
4/1/2023
Site closure
Contacts
Authorizing Official
ZSFG
Susan Ehrlich, CEO
(628) 206-8118
Primary Contact
ZSFG
David E Smith, Pharmacy Manager
(628) 206-2332
Addresses
Street Address
995 Potrero Ave # W81
San Francisco, CA 94110-2859
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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