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CH09071BD Community Health Centers Of The Central Coast, Inc. (Active)
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Main Details
Name
Community Health Centers Of The Central Coast, Inc.
Subdivision Name
COMMUNITY HEALTH CENTERS PALISADE PRIMARY CARE
Type
HRSA-Funded Health Center
Site ID
BPS-H80-035364
340B ID
CH09071BD
Grant Number
H80CS00621
Additional Details
Current Program Status
Active
Registration Date
10/14/2022
Participating Start Date
11/2/2022
Participating Approval Date
11/2/2022
Last Recertification Date
2/11/2025
Contacts
Authorizing Official
community health centers of the central coast, inc
RONALD E. CASTLE, CEO
(805) 459-1835
Primary Contact
Community Health Centers of the Central Coast, Inc.
Derek Yip, 340B Director
(805) 346-3923
Addresses
Street Address
210 S Palisade Dr STE 202A
Santa Maria, CA 93454
Billing Address
Community Health Centers of the Central Coast, Inc.
150 Tejas Pl
Nipomo, CA 93444
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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April 2025
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