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CH098150 SOUTH COUNTY COMMUNITY HEALTH CENTER, INC. (Active)
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Main Details
Name
SOUTH COUNTY COMMUNITY HEALTH CENTER, INC.
Subdivision Name
RAVENSWOOD FAMILY HEALTH CENTER
Type
HRSA-Funded Health Center
Site ID
BPS-H80-013449
340B ID
CH098150
Grant Number
H80CS00145
Additional Details
Current Program Status
Active
Registration Date
7/1/2002
Participating Start Date
7/1/2002
Participating Approval Date
4/14/2005
Last Recertification Date
2/21/2025
Contacts
Authorizing Official
South County Community Health Center, Inc.
LUISA BUADA, CEO
(650) 330-7410
Primary Contact
South County Community Health Center
Gralyn Anthony Jacques, Chief Financial Officer
(650) 617-7882
Addresses
Street Address
1885 Bay Road
East Palo Alto, CA 94303-1312
Billing Address
South County Community Health Center, Inc.
1885 Bay Road
East Palo Alto, CA 94303
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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8/5/09 MEDI # ADD - COMBINES RECORD CH09114G, 4/14/05 ADD DBA TO NAME, NEW CONTACT
08/05/2009
May 2025
May 2025
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