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CHC28370-05 Tri-State Community Healthcare Center (Active)
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Main Details
Name
Tri-State Community Healthcare Center
Subdivision Name
Tri-State Community Healthcare Center- Los Angeles
Type
HRSA-Funded Health Center
Site ID
BPS-H80-029937
340B ID
CHC28370-05
Grant Number
H80CS28370
Additional Details
Current Program Status
Active
Registration Date
1/14/2020
Participating Start Date
4/1/2020
Participating Approval Date
2/28/2020
Last Recertification Date
2/17/2025
Contacts
Authorizing Official
Tri-State Community Healthcare Center
Aram Manoukian, CEO
(760) 326-0222 Ext: 8186584000
Primary Contact
Tri-State Community Healthcare Center
MARIA A SOTNIKOVA, COO
(818) 658-4000
Addresses
Street Address
4137 Verdugo Rd
Los Angeles, CA 90065-3820
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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