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CH09107C SF COMMUNITY CLINIC CONSORTIUM (Active)
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Main Details
Name
SF COMMUNITY CLINIC CONSORTIUM
Subdivision Name
CASTRO-MISSION HEALTH CENTER - HEALTH CENTER #1
Type
HRSA-Funded Health Center
Site ID
BPS-H80-002777
340B ID
CH09107C
Grant Number
H80CS00049
Additional Details
Current Program Status
Active
Registration Date
1/1/2003
Participating Start Date
1/1/2003
Participating Approval Date
3/23/2004
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
3850 17TH ST
SAN FRANCISCO, CA 94114
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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CORRECTED ENTITY NAME
03/23/2004
April 2025
April 2025
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