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CH09085F AMPLA HEALTH (Active)
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Main Details
Name
AMPLA HEALTH
Subdivision Name
Ampla Health Gridley Medical
Type
HRSA-Funded Health Center
Site ID
BPS-H80-004958
340B ID
CH09085F
Grant Number
H80CS00765
Additional Details
Current Program Status
Active
Registration Date
10/1/2001
Participating Start Date
10/1/2001
Participating Approval Date
3/25/2005
Last Recertification Date
2/14/2025
Contacts
Authorizing Official
Ampla Health
Benjamin H. Flores, President & CEO
(530) 674-4261 Ext: 1155
Primary Contact
Ampla Health
Jessica Barber, Pharmacy Administrator
(530) 520-6042
Addresses
Street Address
520 Kentucky Street
Gridley, CA 95948
Billing Address
Ampla Health
935 MARKET STREET
YUBA CITY, CA 95991
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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9/23/2008-UPDATED ADDRESS (WAS 2 E. GRIDLEY RD., SUITE B)
09/23/2008
May 2025
May 2025
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