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CH09107I SF COMMUNITY CLINIC CONSORTIUM (Active)
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Main Details
Name
SF COMMUNITY CLINIC CONSORTIUM
Subdivision Name
SOUTHEAST HEALTH CENTER
Type
HRSA-Funded Health Center
Site ID
BPS-H80-001116
340B ID
CH09107I
Grant Number
H80CS00049
Additional Details
Current Program Status
Active
Registration Date
4/1/1995
Participating Start Date
4/1/1995
Participating Approval Date
4/1/1995
Last Recertification Date
2/10/2025
Contacts
Authorizing Official
ZSFG
Susan Ehrlich, CEO
(628) 206-8118
Primary Contact
ZSFG
David E Smith, Pharmacy Manager
(628) 206-2332
Addresses
Street Address
2401 KEITH STREET
SAN FRANCISCO, CA 94124
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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8/11/05 - ADMIN CORRECTION - WAS 340B ID #CH09053B - THAT RECORD NO LONGER EXISTS - IT WAS MIGRATED INTO THIS RECORD
11/17/2005
April 2025
April 2025
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