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CHC28992-06 Sac Health System (Terminated)
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Main Details
Name
Sac Health System
Subdivision Name
SAC Health System SBCUSD School-Based Clinic
Type
HRSA-Funded Health Center
Site ID
BPS-H80-028034
340B ID
CHC28992-06
Grant Number
H80CS28992
Additional Details
Current Program Status
Terminated
Registration Date
9/9/2020
Participating Start Date
10/1/2020
Participating Approval Date
9/9/2020
Last Recertification Date
2/2/2021
Termination Date
Termination Reason
1/1/2022
Site closure
Contacts
Authorizing Official
SACHS
bonnie inquinn chi-lum, CMO
(951) 235-0642
Primary Contact
SACHS
Tasha Amick, Director of Billing
(909) 382-7180 Ext: 37272
Addresses
Street Address
781 W 2nd St Ste C
San Bernardino, CA 92410-3278
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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