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CH09366A COMMUNITY HEALTH SYSTEMS, INC (Active)
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Main Details
Name
COMMUNITY HEALTH SYSTEMS, INC
Subdivision Name
Fallbrook Family Health Center
Type
HRSA-Funded Health Center
Site ID
BPS-H80-009554
340B ID
CH09366A
Grant Number
H80CS00222
Additional Details
Current Program Status
Active
Registration Date
7/1/2000
Participating Start Date
7/1/2000
Participating Approval Date
10/8/2009
Last Recertification Date
3/4/2025
Contacts
Authorizing Official
Community Health Systems, Inc.
Lori N. Holeman, Chief Executive Officer
(951) 571-2300
Primary Contact
Community Health Systems, Inc.
Denis Fernando Vega Tapia, Chief Strategy Officer
(951) 571-2300
Addresses
Street Address
1328 S Mission Rd
Fallbrook, CA 92028
Billing Address
COMMUNITY HEALTH SYSTEMS, INC.
21801 ALESSANDRO BLVD
MORENO VALLEY, CA 92553
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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3/16/11 UPDATED PHYS ADD (WAS 617 EAST ALVARADO ST); 10/08/09 UPDATED BILL TO (WAS 8151 ARLINGTON AVENUE, SUITE U-V); 5/9/08 UPDATED SHIP TO(WAS 8151 ARLINGTON AVENUE, SUITE U-V, RIVERSIDE,92503); 5/1/07 ADDED BILL TO
03/16/2011
May 2025
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