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CH09224C SHASTA COMMUNITY HEALTH CENTER (Terminated)
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Main Details
Name
SHASTA COMMUNITY HEALTH CENTER
Subdivision Name
SHASTA COMMUNITY DENTAL CLINIC
Type
HRSA-Funded Health Center
Site ID
BPS-H80-003502
340B ID
CH09224C
Grant Number
H80CS00832
Additional Details
Current Program Status
Terminated
Registration Date
4/1/2002
Participating Start Date
4/1/2002
Participating Approval Date
6/18/2009
Last Recertification Date
2/1/2024
Termination Date
Termination Reason
1/1/2025
Site closure
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
1400 Market St # 8103
Redding, CA 96001
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 UPDATED BILL TO (WAS 1035 PLACER STREET, REDDING, 96001); 6/18/09 PHYS ADDR CHANGE/BILL TO ADDED (WAS 2701 OLD EUREKA WAY)
08/26/2010
May 2025
May 2025
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