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FQHCLA420F COMMUNITY HEALTH CENTERS OF AMERICA (Active)
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Main Details
Name
COMMUNITY HEALTH CENTERS OF AMERICA
Subdivision Name
Community Health Centers of America Gustine Primary Care
Type
Health Center Program Look-Alike
Site ID
BPS-LAL-035757
340B ID
FQHCLA420F
Grant Number
LALCS40180
Additional Details
Current Program Status
Active
Registration Date
4/8/2024
Participating Start Date
7/1/2024
Participating Approval Date
6/14/2024
Last Recertification Date
3/6/2025
Contacts
Authorizing Official
Community Health Centers of America
Naresh Channaveerappa, CEO
(209) 678-0990
Primary Contact
Community Health Centers of America
Vinay Channaveerappa, Clinics Director
(209) 441-8383
Addresses
Street Address
489 5th St
Gustine, CA 95322-1514
Billing Address
Community Health Centers of America
5200 Pirrone Ct.
A
Salida, CA 95368
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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Participated 7/1/2023; Terminated 4/1/2024; Reinstated 7/1/2024.
04/11/2024
June 2025
June 2025
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