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FQHCLA002A COUNTY OF MONTEREY (Terminated)
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Main Details
Name
COUNTY OF MONTEREY
Subdivision Name
MARINA CLINIC
Type
Health Center Program Look-Alike
Site ID
BPS-LAL-009965
340B ID
FQHCLA002A
Grant Number
LALCS00049
Additional Details
Current Program Status
Terminated
Registration Date
10/1/2001
Participating Start Date
10/1/2001
Participating Approval Date
10/1/2001
Last Recertification Date
1/31/2019
Termination Date
Termination Reason
4/1/2020
Failure to recertify
Contacts
Authorizing Official
Monterey County HEalth Department
Julia C. Edgcomb, Clinic Services Bureau Chief/Director
(831) 796-1386
Primary Contact
Monterey County Health Department
Prisca Segovia, Management Analyst II - Clinic Service Bureau
(831) 755-4939
Addresses
Street Address
3155 DEFOREST ROAD
MARINA, CA 93933
Billing Address
Monterey County Health Department FQHC Look Alike Clinic
1441 Schilling Place
South Building, First Floor
Salinas, CA 93901
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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