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CHC28981-02 WESTERN SIERRA MEDICAL CLINIC, INC. (Active)
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Main Details
Name
WESTERN SIERRA MEDICAL CLINIC, INC.
Subdivision Name
Searls Avenue
Type
HRSA-Funded Health Center
Site ID
BPS-H80-039538
340B ID
CHC28981-02
Grant Number
H80CS08234
Additional Details
Current Program Status
Active
Registration Date
10/10/2023
Participating Start Date
1/1/2024
Participating Approval Date
10/11/2023
Last Recertification Date
2/27/2025
Contacts
Authorizing Official
Western Sierra Medical Clinic
Jennifer Malone, CEO
(530) 273-3819
Primary Contact
Western Sierra Medical Clinic
FRANCINE NOVAK, Chief Operations Officer
(530) 273-4984 Ext: 102
Addresses
Street Address
590 Searls Ave
Nevada City, CA 95959-3043
Billing Address
Western Sierra Medical Clinc Inc
844 Old Tunnel Road
Grass Valley, CA 95945
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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