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CH093110 ALTAMED Health Services Corporation (Active)
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Main Details
Name
ALTAMED Health Services Corporation
Subdivision Name
AltaMed Health Services Corporation Headquarters
Type
HRSA-Funded Health Center
Site ID
BPS-H80-010965
340B ID
CH093110
Grant Number
H80CS00142
Additional Details
Current Program Status
Active
Registration Date
4/1/2001
Participating Start Date
4/1/2001
Participating Approval Date
7/5/2005
Last Recertification Date
2/11/2025
Contacts
Authorizing Official
AltaMed Health Services Corporation
Jose Esparza, Sr. VP, Finance & CFO
(323) 889-7320
Primary Contact
AltaMed Health Services Corporation
Israel Espinoza, Care Management Coordinator
(323) 889-7886
Addresses
Street Address
2040 CAMFIELD AVENUE
Commerce, CA 90040
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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10/9/14 This record was terminated in error via on on-line termination request on 10/9/14, and "unterminated" the same day; NEW CONTACT INFO, ENTITY NAME CORRECTION
10/09/2014
NEW CONTACT INFO, ENTITY NAME CORRECTION
07/05/2005
May 2025
May 2025
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