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FQHC638454 AMERICAN INDIAN HEALTH & SERVICES (Active)
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Main Details
Name
AMERICAN INDIAN HEALTH & SERVICES
Subdivision Name
Type
Tribal Contract/Compact with IHS (P.L. 93-638)
340B ID
FQHC638454
Additional Details
Current Program Status
Active
Registration Date
10/8/2014
Participating Start Date
1/1/2015
Participating Approval Date
12/9/2014
Last Recertification Date
3/12/2025
Contacts
Authorizing Official
American Indian Health & Services, inc.
Scott Black, Executive Director
(805) 681-7356 Ext: 222
Primary Contact
American Indian Health & Services
DEONNA PEREZ, DIRECTOR OF OPERATIONS
(805) 681-7356 Ext: 240
Addresses
Street Address
4141 STATE STREET
B 6
SANTA BARBARA, CA 93110
Billing Address
American Indian Health & Services
3227 State Street
Santa Barbara, CA 93105
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
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12/9/14 ENROLLED 7/1/02 THRU 3/31/14, NOT ENROLLED 4/1/14 THRU 12/31/14 DUE TO FAILURE TO RECERTIFY, REINSTATED BASED ON ON-LINE REGISTRATION SUBMITTED IN OCT. 2014
12/09/2014
April 2025
April 2025
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