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CHC266170-10 Via Care Community Health Center, Inc. (Terminated)
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Main Details
Name
Via Care Community Health Center, Inc.
Subdivision Name
Via Care 280 Health Center
Type
HRSA-Funded Health Center
Site ID
BPS-H80-024883
340B ID
CHC266170-10
Grant Number
H80CS26617
Additional Details
Current Program Status
Terminated
Registration Date
1/13/2022
Participating Start Date
4/1/2022
Participating Approval Date
2/14/2022
Last Recertification Date
Termination Date
Termination Reason
4/1/2023
Site closure
Contacts
Authorizing Official
Via Care Community Health Center
Nina Falcetti, Director of HR
(323) 268-9191 Ext: 1091
Primary Contact
Via Care Community Health Center
Mahsa Female Dadkhah, Pharmacy Director
(323) 268-9191 Ext: 1043
Addresses
Street Address
280 S Atlantic Blvd
East Los Angeles, CA 90022-1733
Billing Address
Via Care Community Health Center
501 S. Atlantic Blvd.
EAST LOS ANGELES, CA 90022
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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