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FQHCLA397E Health Service Alliance (Active)
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Main Details
Name
Health Service Alliance
Subdivision Name
Palm Desert Community Health Center
Type
Health Center Program Look-Alike
Site ID
BPS-LAL-035246
340B ID
FQHCLA397E
Grant Number
LALCS33333
Additional Details
Current Program Status
Active
Registration Date
7/13/2023
Participating Start Date
10/1/2023
Participating Approval Date
9/6/2023
Last Recertification Date
3/6/2025
Contacts
Authorizing Official
Health Service Alliance
Christen Grelling, Chief Operations Officer
(909) 464-9675 Ext: 104
Primary Contact
Health Service Alliance
Jeff Cox, Chief Executive Officer
(909) 784-6117
Addresses
Street Address
41990 Cook St STE F-2002
Palm Desert, CA 92211-6100
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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