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CHC28986-03 COMMUNITY MEDICAL WELLNESS CENTERS, USA (ToBeTerminated)
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Main Details
Name
COMMUNITY MEDICAL WELLNESS CENTERS, USA
Subdivision Name
Community Medical Wellness Centers USA--Khemara
Type
HRSA-Funded Health Center
Site ID
BPS-H80-030819
340B ID
CHC28986-03
Grant Number
H80CS28986
Additional Details
Current Program Status
ToBeTerminated
Registration Date
1/15/2021
Participating Start Date
4/1/2021
Participating Approval Date
1/21/2021
Last Recertification Date
2/11/2025
Termination Date
Termination Reason
7/1/2025
Site closure
Contacts
Authorizing Official
Community Medical Wellness Centers
Sompia Paigne, CEO
(562) 270-0324
Primary Contact
CMWC USA
Bakheng Pheng, CMO
(562) 270-0324
Addresses
Street Address
1533 Alamitos Ave
Long Beach, CA 90813-2214
Billing Address
Same as Street Address
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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