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CH09078AT COMMUNITY MEDICAL CENTERS (Active)
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Main Details
Name
COMMUNITY MEDICAL CENTERS
Subdivision Name
Community Medical Centers, Vacaville Dental
Type
HRSA-Funded Health Center
Site ID
BPS-H80-035613
340B ID
CH09078AT
Grant Number
H80CS00138
Additional Details
Current Program Status
Active
Registration Date
8/22/2023
Participating Start Date
10/1/2023
Participating Approval Date
8/28/2023
Last Recertification Date
2/21/2025
Contacts
Authorizing Official
Community Medical Centers, inc.
Greg Diederich, CEO
(209) 373-2826
Primary Contact
Community Medical Centers, Inc.
Pak Hui, Director of Pharmacy
(209) 940-4677
Addresses
Street Address
600 Nut Tree Road, Ste. 120
Vacaville, CA 95687-4656
Billing Address
Community Medical Centers, Inc.
PO Box 779
Stockton, CA 95201-0779
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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