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CH091025C MENDOCINO COAST CLINICS, INC. (Active)
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Main Details
Name
MENDOCINO COAST CLINICS, INC.
Subdivision Name
Mendocino Coast Clinics Family Wellness Center
Type
HRSA-Funded Health Center
Site ID
BPS-H80-021938
340B ID
CH091025C
Grant Number
H80CS00876
Additional Details
Current Program Status
Active
Registration Date
10/6/2020
Participating Start Date
1/1/2021
Participating Approval Date
10/7/2020
Last Recertification Date
2/11/2025
Contacts
Authorizing Official
Mendocino Coast Clinics
Lucresha Renteria, Executive Director
(707) 964-1251 Ext: 3433
Primary Contact
Wipfli
Erica Cooperrider, Senior Consultant
(707) 391-3254
Addresses
Street Address
510 Cypress St. Suite C 100
Fort Bragg, CA 95437
Billing Address
Mendocino Coast Clinics
205 South Street
FORT BRAGG, CA 95437
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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June 2025
June 2025
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