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CH091520 MOUNTAIN HEALTH & COMMUNITY SERVICES, INC. (Terminated)
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Main Details
Name
MOUNTAIN HEALTH & COMMUNITY SERVICES, INC.
Subdivision Name
Mountain Empire Family Medicine
Type
HRSA-Funded Health Center
Site ID
BPS-H80-005030
340B ID
CH091520
Grant Number
H80CS00284
Additional Details
Current Program Status
Terminated
Registration Date
10/1/2002
Participating Start Date
10/1/2002
Participating Approval Date
10/1/2002
Last Recertification Date
2/7/2020
Termination Date
Termination Reason
7/1/2020
Other
Contacts
Authorizing Official
Mountain Health & Community Services, Inc
Amy Weisiger, CFO
(619) 478-5254 Ext: 229
Primary Contact
Mountain Health and Community Services, Inc.
Maria Ramirez, Credentialing Coordinator
(619) 478-5254 Ext: 238
Addresses
Street Address
31115 HIGHWAY 94
Campo, CA 91906-3133
Billing Address
Mountain Health & Community Services,Inc
31115 Hwy 94
Campo, CA 91906-3133
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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April 2025
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