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CHC28986-06 COMMUNITY MEDICAL WELLNESS CENTERS, USA (Active)
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Main Details
Name
COMMUNITY MEDICAL WELLNESS CENTERS, USA
Subdivision Name
CMWC - Palo Verde
Type
HRSA-Funded Health Center
Site ID
BPS-H80-034337
340B ID
CHC28986-06
Grant Number
H80CS28986
Additional Details
Current Program Status
Active
Registration Date
10/13/2023
Participating Start Date
1/1/2024
Participating Approval Date
10/18/2023
Last Recertification Date
2/12/2025
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
3325 Palo Verde Ave
Suite 208
Long Beach, CA 90808-4132
Billing Address
CMWC
1360 E Anaheim St
Ste 101
Long Beach, CA 90813
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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