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CH09366M Community Health Systems, Inc. (Active)
Main Details
Name
Community Health Systems, Inc.
Subdivision Name
CHSI Mobile Wellness Clinic 1
Type
HRSA-Funded Health Center
Site ID
BPS-H80-034302
340B ID
CH09366M
Grant Number
H80CS00222
Contacts
Authorizing Official
Community Health Systems, Inc.
Lori N. Holeman, Chief Executive Officer
(951) 571-2300
Primary Contact
Community Health Systems, Inc.
Denis Fernando Vega Tapia, Chief Strategy Officer
(951) 571-2360
Additional Details
Current Program Status
Active
Registration Date
4/14/2023
Participating Start Date
7/1/2023
Participating Approval Date
4/19/2023
Last Recertification Date
2/21/2024
Addresses
Street Address
9380 Magnolia Ave
Riverside, CA 92503-3749
Billing Address
Community Health Systems, Inc.
21801 Alessandro Blvd.
Moreno Valley, CA 92553
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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