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CHC28366-02 Harbor Community Clinic (Active)
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Main Details
Name
Harbor Community Clinic
Subdivision Name
Pacific Avenue Health Center
Type
HRSA-Funded Health Center
Site ID
BPS-H80-029763
340B ID
CHC28366-02
Grant Number
H80CS28366
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
Harbor Community Clinic
Nathalia Jimenez, COO
(310) 547-0202 Ext: 134
Primary Contact
Harbor Community Clinic
Dahina Hernandez, Director of Operations
(310) 547-0202
Addresses
Street Address
425 S Pacific Ave
San Pedro, CA 90731-2625
Billing Address
Harbor Community Clinic
593 West 6th Street
San Pedro, CA 90731
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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