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CH09122U BAY AREA COMMUNITY HEALTH (Terminated)
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Main Details
Name
BAY AREA COMMUNITY HEALTH
Subdivision Name
La Pala Dental Clinic
Type
HRSA-Funded Health Center
Site ID
BPS-H80-031074
340B ID
CH09122U
Grant Number
H80CS02326
Additional Details
Current Program Status
Terminated
Registration Date
8/25/2020
Participating Start Date
10/1/2020
Participating Approval Date
8/27/2020
Last Recertification Date
2/4/2022
Termination Date
Termination Reason
4/1/2023
Business decision by the Covered Entity
Contacts
Authorizing Official
Bay Area Community Health
Zettie D Page, CEO
(760) 902-5249
Primary Contact
Bay Area Community Health
Trina Monterola, Director of Finance and Controller
(510) 304-5360
Addresses
Street Address
242 La Pala Dr. STE A & B
San Jose, CA 95127
Billing Address
Bay Area Community Health
40910 Fremont Blvd.
Fremont, CA 94538
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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