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CH09085AG AMPLA HEALTH (Active)
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Main Details
Name
AMPLA HEALTH
Subdivision Name
Ampla Health South Chico Medical
Type
HRSA-Funded Health Center
Site ID
BPS-H80-037250
340B ID
CH09085AG
Grant Number
H80CS00765
Additional Details
Current Program Status
Active
Registration Date
11/28/2023
Participating Start Date
1/1/2024
Participating Approval Date
11/28/2023
Last Recertification Date
2/14/2025
Contacts
Authorizing Official
Ampla Health
Benjamin H. Flores, President & CEO
(530) 674-4261 Ext: 1155
Primary Contact
Ampla Health
Jessica Barber, Pharmacy Administrator
(530) 520-6042
Addresses
Street Address
2216 Fair Street
Chico, CA 95928
Billing Address
Ampla Health
935 Market Street
Yuba City, CA 95991
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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