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CHC28986-04 COMMUNITY MEDICAL WELLNESS CENTERS, USA (Terminated)
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Main Details
Name
COMMUNITY MEDICAL WELLNESS CENTERS, USA
Subdivision Name
Community Medical Wellness Centers USA - Long Beach, Bellflower Blvd.
Type
HRSA-Funded Health Center
Site ID
BPS-H80-031050
340B ID
CHC28986-04
Grant Number
H80CS28986
Additional Details
Current Program Status
Terminated
Registration Date
1/15/2021
Participating Start Date
4/1/2021
Participating Approval Date
1/21/2021
Last Recertification Date
2/3/2022
Termination Date
Termination Reason
4/1/2023
Site closure
Contacts
Authorizing Official
Community Medical Wellness Centers
Sompia Paigne, CEO
(562) 270-0324
Primary Contact
Community Medical Wellness USA
Paul Ramos, CFO
(323) 997-2710
Addresses
Street Address
2700 N Bellflower Blvd Ste 115
Long Beach, CA 90815-1100
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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