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CH09122AA Bay Area Community Health (Active)
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Main Details
Name
Bay Area Community Health
Subdivision Name
Yerba Buena SB Health Clinic
Type
HRSA-Funded Health Center
Site ID
BPS-H80-032390
340B ID
CH09122AA
Grant Number
H80CS02326
Additional Details
Current Program Status
Active
Registration Date
10/11/2021
Participating Start Date
1/1/2022
Participating Approval Date
10/13/2021
Last Recertification Date
2/26/2025
Contacts
Authorizing Official
Bay Area Community Health
Zettie D Page, CEO
(760) 902-5249
Primary Contact
Bay Area Community Health
Trina D. Monterola, Director of Finance
(510) 252-6804
Addresses
Street Address
1855 Lucretia Ave Bldg M
San Jose, CA 95122-3730
Billing Address
Central Office: Irvington Dave Clinic
40910 Fremont Blvd,
Fremont, CA 94538
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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