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CHC26624-05 POMONA COMMUNITY HEALTH CENTER (Active)
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Main Details
Name
POMONA COMMUNITY HEALTH CENTER
Subdivision Name
Holt Dental
Type
HRSA-Funded Health Center
Site ID
BPS-H80-027265
340B ID
CHC26624-05
Grant Number
H80CS26624
Additional Details
Current Program Status
Active
Registration Date
4/2/2020
Participating Start Date
7/1/2020
Participating Approval Date
4/3/2020
Last Recertification Date
2/14/2025
Contacts
Authorizing Official
Pomona Community Health Center
David M Kadar, Chief Executive Officer
(909) 630-7939
Primary Contact
Parktree Community Health Center
Juliet V Dominguez, Director of Risk Management & Compliance
(909) 469-9013 Ext: 6037
Addresses
Street Address
1448 E Holt Ave
Pomona, CA 91767-5822
Billing Address
Pomona Community Health Center dba Parktree Community Health Center
1450 E Holt Ave
Pomona, CA 91767
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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