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CHC28985-11 Central Neighborhood Health Foundation (Terminated)
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Main Details
Name
Central Neighborhood Health Foundation
Subdivision Name
Central Neighborhood Health Foundation Upland
Type
HRSA-Funded Health Center
Site ID
BPS-H80-030576
340B ID
CHC28985-11
Grant Number
H80CS28985
Additional Details
Current Program Status
Terminated
Registration Date
1/13/2021
Participating Start Date
4/1/2021
Participating Approval Date
1/19/2021
Last Recertification Date
1/31/2024
Termination Date
Termination Reason
4/1/2025
Site closure
Contacts
Authorizing Official
Central Neighborhood Health Foundation
James Walter, Chief Operating Officer
(213) 910-8845
Primary Contact
Central Neighborhood health Foundation
Rocio Marquetti, Admin Asst
(213) 536-5815 Ext: 0013
Addresses
Street Address
360 East 7th Street UNIT B
Upland, CA 91786-6740
Billing Address
Central Neighborhood Health Foundation
2700 SOUTH GRAND AVENUE
Los Angeles, CA 90007-2607
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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