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CH0910250 MENDOCINO COAST CLINICS, INC. (Active)
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Main Details
Name
MENDOCINO COAST CLINICS, INC.
Subdivision Name
MENDOCINO COAST CLINICS, INC.
Type
HRSA-Funded Health Center
Site ID
BPS-H80-002154
340B ID
CH0910250
Grant Number
H80CS00876
Additional Details
Current Program Status
Active
Registration Date
1/1/2001
Participating Start Date
1/1/2001
Participating Approval Date
3/30/2004
Last Recertification Date
2/11/2025
Contacts
Authorizing Official
Mendocino Coast Clinics
Lucresha Renteria, Executive Director
(707) 964-1251 Ext: 3433
Primary Contact
Mendocino Coast Clinics
Jeremie Foley, Operations Director
(707) 964-1251 Ext: 3430
Addresses
Street Address
205 South St
Fort Bragg, CA 95437-5540
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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3/30/04 ADMIN CORRECTION - WAS FQHCLA009, NEW ADDRESS (WAS 120 W. FIR STREET)
05/22/2007
April 2025
April 2025
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