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CH09224E SHASTA COMMUNITY HEALTH CENTER (Active)
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Main Details
Name
SHASTA COMMUNITY HEALTH CENTER
Subdivision Name
SHASTA LAKE CITY FAMILY HLTH CTR
Type
HRSA-Funded Health Center
Site ID
BPS-H80-005374
340B ID
CH09224E
Grant Number
H80CS00832
Additional Details
Current Program Status
Active
Registration Date
4/1/2002
Participating Start Date
4/1/2002
Participating Approval Date
1/21/2010
Last Recertification Date
2/12/2025
Contacts
Authorizing Official
Shasta Community Health Center
Brandon Thornock, Chief Executive Officer
(530) 229-5074
Primary Contact
Shasta Community Health Center
Dan Santi, Chief Financial Officer
(530) 246-5778
Addresses
Street Address
4215 FRONT ST
SHASTA LAKE, CA 96019-9430
Billing Address
SHASTA COMMUNITY HEALTH CENTER
PO BOX 992790
REDDING, CA 96099-2790
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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8/26/10 ADDED BILL TO; 12/21/05 UPDATED ENTITY NAME
08/26/2010
May 2025
May 2025
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