340B Drug Pricing Program Database
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CH09815D South County Community Health Center, Inc. (Active)
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Main Details
Name
South County Community Health Center, Inc.
Subdivision Name
Mayview Community Health Center Mountain VIew a member of Ravenswood Family Health Network
Type
HRSA-Funded Health Center
Site ID
BPS-H80-030468
340B ID
CH09815D
Grant Number
H80CS00145
Additional Details
Current Program Status
Active
Registration Date
4/8/2020
Participating Start Date
4/29/2020
Participating Approval Date
4/9/2020
Last Recertification Date
2/21/2025
Contacts
Authorizing Official
South County Community Health Center, Inc.
LUISA BUADA, CEO
(650) 330-7410
Primary Contact
South County Community Health Center
Gralyn Anthony Jacques, Chief Financial Officer
(650) 617-7882
Addresses
Street Address
900 Miramonte Ave Fl 2
Mountain View, CA 94040-2457
Billing Address
South County Community Health Center, Inc.
1885 Bay Road
East Palo Alto, CA 94303
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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