340B Drug Pricing Program Database

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Effective Sunday, September 1, OPA is implementing a change to the export format for Medicaid and NPI numbers. This change affects covered entity exports that include Medicaid and/or NPI billing numbers, and the CE Daily Report in Excel format. If the number is associated with more than one state, all the states will be listed between one set of parentheses following the number - for example, 1275575227 (IN,MI,OH). This change is necessary to ensure that the exported data does not exceed Excel’s limit for field length.

GENOA HEALTHCARE LLC
CH090850 AMPLA HEALTH

Covered Entity Details

Ampla Health Lindhurst Medical, Dental, & Xpress Care
HRSA-Funded Health Center
CH090850
4941 Olivehurst Ave
Olivehurst, CA 95961-4225
H80CS00765
1/1/1998
2/16/2024


Pharmacy Details

17782 COWAN ST STE G
IRVINE, CA 92614

Contract Details

10/6/2021
1/1/2022


Contacts


Benjamin H. Flores, President & CEO
(530) 674-4261 Ext: 1155



Optum
Nancy McCutcheon, SR VP of Strategic Sales
(651) 983-0677
10/6/2021