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CH092143AC Los Angeles Christian Health Centers (Active)
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Main Details
Name
Los Angeles Christian Health Centers
Subdivision Name
LACHC Mobile Medical Van #1
Type
HRSA-Funded Health Center
Site ID
BPS-H80-035231
340B ID
CH092143AC
Grant Number
H80CS06674
Additional Details
Current Program Status
Active
Registration Date
10/4/2022
Participating Start Date
1/1/2023
Participating Approval Date
10/5/2022
Last Recertification Date
2/10/2025
Contacts
Authorizing Official
Los Angeles Christian Health Centers
Bettina Lewis, Chief Operations Officer
(213) 893-1960
Primary Contact
Los Angeles Christian Health Centers
Elaine Riveria, Pharmacy Director
(213) 893-1980
Addresses
Street Address
325 E 7th St
Los Angeles, CA 90014-2209
Billing Address
Los Angeles Christian Health Centers
453 Spring Street
1201
Los Angeles, CA 90013
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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