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CHC28986-07 COMMUNITY MEDICAL WELLNESS CENTERS, USA (Active)
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Main Details
Name
COMMUNITY MEDICAL WELLNESS CENTERS, USA
Subdivision Name
CMWC Cultural Awareness Community Annex
Type
HRSA-Funded Health Center
Site ID
BPS-H80-033857
340B ID
CHC28986-07
Grant Number
H80CS28986
Additional Details
Current Program Status
Active
Registration Date
10/12/2023
Participating Start Date
1/1/2024
Participating Approval Date
10/18/2023
Last Recertification Date
2/11/2025
Contacts
Authorizing Official
Community Medical Wellness Centers
Sompia Paigne, CEO
(562) 270-0324
Primary Contact
CMWC USA
Bakheng Pheng, CMO
(562) 270-0324
Addresses
Street Address
1350 E Anaheim St
Long Beach, CA 90813-3776
Billing Address
CMWC USA
1360 E Anaheim St
Suite 101
Long Beach, CA 90813-5515
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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