FQHC — tribal (638) · CA
Revive Pathway
- 0Registered locations
- 1Associated locations
- 1Contract pharmacies
- 0With no end date
- 1 January 2025In 340B since
Finances, as filed
This entity type does not file a Medicare cost report; no finances are recorded.
Changes recorded
Nothing on this record has moved since it was first read here on 6 September 2026.
Cite this page
Velarion Records, “Revive Pathway” (340B ID FQHC638618), citing the HRSA 340B OPAIS Covered Entity Daily Report, file 340B_CoveredEntity_Daily_20260907_110549.xlsx. https://velarionrecords.com/340b/FQHC638618
Register detail and identifiers
Participation, as filed
- Participating
- FALSE
- Participation start date
- 1 January 2025
- Termination date
- 1 April 2025
- Termination reason
- Failure to recertify
- Record last edited
- 1 April 2025
Identifiers
- 340B ID
- FQHC638618
- Entity type as filed
- FQHC638
1240 Broadway, El Cajon CA 92021
Associated locations
| Organization | Address | Where |
|---|---|---|
| Revive Pathway | 1240 Broadway | El Cajon CA 92021 |
Pharmacy contracts
| Pharmacy | Where | Begins | Ends |
|---|---|---|---|
| ALVARADO PHARMACY | SAN DIEGO, CA | 1 April 2025 | 1 April 2025 |
Every figure on this page is printed as it appears in the HRSA 340B OPAIS Covered Entity Daily Report, file 340B_CoveredEntity_Daily_20260907_110549.xlsx, stamped by its publisher 7 September 2026. This record has been read here since 6 September 2026.