Covered Entity Details

CH09110P VALLEY HEALTH TEAM, INC. (Approved) - information as of 5/13/2025 11:04:25 PM

Main Details

Name

VALLEY HEALTH TEAM, INC.

Subdivision Name

Dinuba Unified School District Behavioral Health Center

Type

HRSA-Funded Health Center

Site ID

BPS-H80-039943

340B ID

CH09110P

Grant Number

H80CS00525

Additional Details

Current Program Status

Approved

Registration Date

4/11/2025

Participating Start Date

7/1/2025

Participating Approval Date

5/6/2025

Last Recertification Date

Contacts

Authorizing Official

Valley Health Team, Inc
Soyla Griffin, Chief Executive Officer
(559) 693-2462 Ext: 2943

Primary Contact

Valley Health Team, Inc.
Petrus Tjandra, Vice President of Special Projects and Facilities
(559) 364-2958

Addresses

Street Address

490 W Kamm Avenue, Room H102
Dinuba, CA 93618-9756

Billing Address

Valley Health Team, Inc.
P.O. BOX 737
San Joaquin, CA 93660

Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
History

Comments

Comment	Last Updated On
No records to display.

Medicaid Billing

At this site, will the covered entity bill Medicaid fee-for-service for drugs purchased at 340B prices?
Yes

State	Medicaid Number	NPI Number
CA		1780370510

Shipping Addresses

Same as Street Address

Contract Pharmacies

Contract Detail	Pharmacy Name	Address	Address Cont.	City	State	Zip Code	Approval Date	Begin Date	Carve-In Effective Date	Termination Date	Last Updated On
No records to display.

Grantee Sites

340B ID	340B Status	SiteId	Name	Sub Name	Address	City	State
CH091100	Active	BPS-H80-003940	VALLEY HEALTH TEAM, INC.	SAN JOAQUIN HEALTH CENTER	21890 COLORADO AVENUE	SAN JOAQUIN	CA
CH09110A	Active	BPS-H80-004647	VALLEY HEALTH TEAM, INC.	Kerman Health Center	449 S. Madera Ave	KERMAN	CA
CH09110B	Active	BPS-H80-035971	VALLEY HEALTH TEAM, INC.	Firebaugh Community Health Center	689 N Street	Firebaugh	CA
CH09110C	Active	BPS-H80-011003	VALLEY HEALTH TEAM, INC.	Kerman Dental Center/ Valley Optometric Center	942 S Madera Ave	Kerman	CA
CH09110D	Terminated	BPS-H80-010454	VALLEY HEALTH TEAM, INC.	Valley Smiles	21890 W. Colorado Ave	San Joaquin	CA
CH09110E	Active	BPS-H80-013731	VALLEY HEALTH TEAM, INC.	Clovis Community Health Center	180 W SHAW AVE STE B	CLOVIS	CA
CH09110F	Active	BPS-H80-013824	VALLEY HEALTH TEAM, INC.	Kerman Unified School District Community Health Center	702 S 8TH ST	KERMAN	CA
CH09110G	Active	BPS-H80-036756	VALLEY HEALTH TEAM, INC.	Kingsburg Community Health Center	121 W Sierra St	Kingsburg	CA
CH09110H	Active	BPS-H80-015063	VALLEY HEALTH TEAM, INC.	Central Fresno Community Health Center	4711 W Ashlan Ave	Fresno	CA
CH09110J	Active	BPS-H80-024671	VALLEY HEALTH TEAM, INC.	Dinuba Community Health Center - Building 1	888 N. Alta Avenue	Dinuba	CA
CH09110K	Active	BPS-H80-030923	VALLEY HEALTH TEAM, INC.	Golden Plains Unified School District Community Health Center	6052 Juanche Ave	Tranquillity	CA
CH09110L	Active	BPS-H80-032056	VALLEY HEALTH TEAM, INC.	Bishop Community Health Center	459 W Line St Ste C	Bishop	CA
CH09110M	Active	BPS-H80-031225	VALLEY HEALTH TEAM, INC.	Golden Plains Unified School District Community Health Center	6171 S Daniels Ave	Tranquillity	CA
CH09110N	Active	BPS-H80-031457	VALLEY HEALTH TEAM, INC.	Bishop Community Health Center	459 W Line St Ste B	Bishop	CA
CH09110P	Approved	BPS-H80-039943	VALLEY HEALTH TEAM, INC.	Dinuba Unified School District Behavioral Health Center	490 W Kamm Avenue, Room H102	Dinuba	CA
CH09110Q	Approved	BPS-H80-022030	VALLEY HEALTH TEAM, INC.	Kerman Unified School District Behavioral Health Center	601 S 1st St	Kerman	CA
CH09110R	Approved	BPS-H80-037414	VALLEY HEALTH TEAM, INC.	Kings River Union Elementary School District Behavioral Health Center	3961 Avenue 400 RM 1A	Kingsburg	CA
CH09110S	Approved	BPS-H80-024659	VALLEY HEALTH TEAM, INC.	Dinuba Community Health Center – Building 2	920 N Alta Ave	Dinuba	CA

Grantee Sites Contract Pharmacies

340B ID	Pharmacy Name	Address	Address Cont.	City	State	Zip Code	Begin Date	Termination Date
CH091100	ACCREDO HEALTH GROUP INC	2410 WARDLOW RD	STE 101	CORONA	CA	92878	10/01/2024
CH091100	ACCREDO HEALTH GROUP INC	2040 W RIO SALADO PKWY STE 101B		TEMPE	AZ	85281-2010	10/01/2024
CH091100	ACCREDO HEALTH GROUP INC	3000 ERICSSON DRIVE, SUITE 100		WARRENDALE	PA	15086-7502	10/01/2024
CH091100	ACCREDO HEALTH GROUP INC	1620 CENTURY CENTER PKWY	# 109	MEMPHIS	TN	38134-8849	10/01/2024
CH091100	ACCREDO HEALTH GROUP, INC.	6272 LEE VISTA BLVD STE 100		ORLANDO	FL	32822	10/01/2024
CH091100	ACCREDO HEALTH GROUP, INC.	2 BOULDEN CIR STE 1		NEW CASTLE	DE	19720-3492	10/01/2024
CH091100	ACCREDO HEALTH GROUP, INC.	4750 E 450 S	SUITE A	WHITESTOWN	IN	46075	10/01/2024
CH091100	ALPHA CARE PHARMACY	15010 W WHITESBRIDGE AVE		KERMAN	CA	93630	07/01/2025
CH091100	AMAZON PHARMACY #001	4500 S PLEASANT VALLEY RD STE 201		AUSTIN	TX	78744-2911	07/01/2020
CH091100	AZ PHARMACY, LLC	DBA AMAZON PHARMACY #002	3809 E WATKINS ST	PHOENIX	AZ	85034	07/01/2020
CH091100	BIOPLUS SPECIALTY PHARMACY SERVICES, LLC	4900 PROSPECTUS DR STE 300		DURHAM	NC	27713	07/01/2020
CH091100	BIOPLUS SPECIALTY PHARMACY SERVICES, LLC	376 NORTHLAKE BLVD		ALTAMONTE SPRINGS	FL	32701-5261	07/01/2020
CH091100	CYSTIC FIBROSIS SERVICES, LLC	DBA WALGREENS SPECIALTY PHARMACY #16280	10530 JOHN W ELLIOTT DR STE 200	FRISCO	TX	75033	07/01/2022
CH091100	DINUBA PHARMACY	DINUBA PHARMACY	172 N L ST.	DINUBA	CA	93618	04/01/2019
CH091100	DOGWOOD PHARMACY, INC	D/B/A MEDSCRIPTS MEDICAL PHARMACY	1325 MILLER ROAD SUITE K	GREENVILLE	SC	29607-6540	07/01/2020
CH091100	ESI MAIL PHARMACY SERVICE	DBA EXPRESS SCRIPTS	7909 S HARDY DR STE 106	TEMPE	AZ	85284-1112	10/01/2024
CH091100	EXPRESS SCRIPTS	ESI MAIL PHARMACY SERVICE INC	4600 N HANLEY RD	SAINT LOUIS	MO	63134	10/01/2024
CH091100	EXPRESS SCRIPTS PHARMACY, INC.	DBA EXPRESS SCRIPTS	2040 ROUTE 130 NORTH	BURLINGTON	NJ	08016	10/01/2024
CH091100	EXPRESS SCRIPTS PHARMACY, INC.	DBA EXPRESS SCRIPTS	4750 E. 450 S.	WHITESTOWN	IN	46075	10/01/2024
CH091100	GARFIELD BEACH CVS, L.L.C.	DBA: CVS/PHARMACY # 04446	14967 W. WHITESBRIDGE AVE.	KERMAN	CA	93630	07/01/2017
CH091100	GARFIELD BEACH CVS, L.L.C.	CVS PHARMACY # 16108	3173 E SHIELDS AVE	FRESNO	CA	93726	01/01/2020
CH091100	GARFIELD BEACH CVS, L.L.C.	CVS PHARMACY # 16136	900 SHAW AVE	CLOVIS	CA	93612	01/01/2020
CH091100	GARFIELD BEACH CVS, L.L.C.	CVS PHARMACY # 16084	3150 W SHAW AVE	FRESNO	CA	93711	01/01/2020
CH091100	GARFIELD BEACH CVS, L.L.C.	DBA: CVS/PHARMACY # 06772	4987 N. FRESNO ST.	FRESNO	CA	93726	01/01/2020
CH091100	GARFIELD BEACH CVS, L.L.C.	CVS PHARMACY # 17423	1405 W PACHECO BLVD	LOS BANOS	CA	93635	01/01/2022	12/08/2021
CH091100	LA PHARMACY LLC	1048 S GARFIELD AVE	STE 101	ALHAMBRA	CA	91801	07/01/2020
CH091100	LONGS DRUG STORES CALIFORNIA, L.L.C.	DBA: CVS/PHARMACY # 09377	1065 W MANNING AVE	REEDLEY	CA	93654	01/01/2020
CH091100	LONGS DRUG STORES CALIFORNIA, L.L.C.	DBA: CVS/PHARMACY # 07553	3011 E SHIELDS AVE	FRESNO	CA	93726	01/01/2020
CH091100	LONGS DRUG STORES CALIFORNIA, L.L.C.	DBA: CVS/PHARMACY # 07910	1794 ASHLAN AVE	CLOVIS	CA	93611	01/01/2020
CH091100	LONGS DRUG STORES CALIFORNIA, L.L.C.	DBA: CVS/PHARMACY # 09971	4077 W CLINTON AVE	FRESNO	CA	93722	01/01/2020
CH091100	LONGS DRUG STORES CALIFORNIA, L.L.C.	DBA: CVS/PHARMACY # 09129	1302 FULTON MALL	FRESNO	CA	93721	01/01/2020
CH091100	LONGS DRUG STORES CALIFORNIA, L.L.C.	DBA: CVS/PHARMACY # 09983	929 SIERRA ST	KINGSBURG	CA	93631	01/01/2020
CH091100	LONGS DRUG STORES CALIFORNIA, L.L.C.	DBA: CVS/PHARMACY # 09537	1325 W SHIELDS AVENUE	FRESNO	CA	93705	01/01/2020
CH091100	LONGS DRUG STORES CALIFORNIA, L.L.C.	DBA: CVS/PHARMACY # 09846	6800 N MILBURN AVE	FRESNO	CA	93722	01/01/2020
CH091100	LONGS DRUG STORES CALIFORNIA, L.L.C.	DBA: CVS/PHARMACY # 09149	6750 N CEDAR AVE	FRESNO	CA	93710	01/01/2020
CH091100	LONGS DRUG STORES CALIFORNIA, L.L.C.	DBA: CVS/PHARMACY # 09801	10 SHAW AVE	CLOVIS	CA	93612	01/01/2020
CH091100	LONGS DRUG STORES CALIFORNIA, L.L.C.	DBA: CVS/PHARMACY # 03925	2133 SHAW AVE	CLOVIS	CA	93611	01/01/2022	12/08/2021
CH091100	M.N. PHARMACY LLC	DBA AMAZON PHARMACY #003	6701 NW 7TH ST., STE. #199	MIAMI	FL	33126	07/01/2020
CH091100	OPTUM PHARMACY 702, LLC	1050 PATROL RD		JEFFERSONVILLE	IN	47130	10/01/2022
CH091100	OPTUM PHARMACY 705, LLC	1100 LEE BRANCH LN		BIRMINGHAM	AL	35242-7298	10/01/2022
CH091100	OPTUM PHARMACY 707, INC	4900 RIVERGRADE RD STE E110		IRWINDALE	CA	91706-1401	10/01/2022
CH091100	OVERLAKE PHARMACY, LLC	4124 148TH AVE NE STE JA		REDMOND	WA	98052	07/01/2020
CH091100	PILLPACK LLC	DBA PILLPACK BY AMAZON PHARMACY	250 COMMERCIAL ST STE 2012	MANCHESTER	NH	03101	07/01/2020
CH091100	PRIME THERAPEUTICS SPECIALTY PHARMACY LL	ALLIANCERX WALGREENS PRIME #16568	2354 COMMERCE PARK DRIVE SUITE 100	ORLANDO	FL	32819-9992	07/01/2022	08/31/2022
CH091100	RAINA RX LLC	DBA ROUTE 300 PHARMACY	1208 ROUTE 300 SUITE 103	NEWBURGH	NY	12550	07/01/2020
CH091100	RIVER MEDICAL PHARMACY LLC	4752 RESEARCH DR		SAN ANTONIO	TX	78240-5002	07/01/2020
CH091100	THRIFTY PAYLESS, INC.	RITE AID #6522	875 NORTH ALTA AVENUE	DINUBA	CA	93618	10/01/2019
CH091100	THRIFTY PAYLESS, INC.	RITE AID #6289	4593 NORTH CEDAR AVENUE	FRESNO	CA	93726	10/01/2019
CH091100	THRIFTY PAYLESS, INC.	RITE AID #5862	1210 NORTH BLACKSTONE AVENUE	FRESNO	CA	93703	10/01/2019
CH091100	THRIFTY PAYLESS, INC.	RITE AID #6476	2990 EAST NEES AVENUE	FRESNO	CA	93720	10/01/2019	07/01/2022
CH091100	THRIFTY PAYLESS, INC.	RITE AID #5869	3795 WEST SHIELDS AVENUE	FRESNO	CA	93722	10/01/2019
CH091100	THRIFTY PAYLESS, INC.	RITE AID #6295	1101 FRESNO STREET	FRESNO	CA	93706	10/01/2019
CH091100	THRIFTY PAYLESS, INC.	RITE AID #5853	456 S MADERA AVENUE	KERMAN	CA	93630	10/01/2019
CH091100	THRIFTY PAYLESS, INC.	RITE AID #5860	2640 FLORAL AVENUE	SELMA	CA	93662	10/01/2019
CH091100	THRIFTY PAYLESS, INC.	RITE AID #6378	8027 NORTH CEDAR AVENUE	FRESNO	CA	93720	10/01/2019
CH091100	TRUEPILL	3121 DIABLO AVE		HAYWARD	CA	94545	07/01/2020
CH091100	WAL-MART CENTRAL FILL 10-2670	608 SPRING HILL DR # 3 SUITE 300		SPRING	TX	77386	07/01/2017
CH091100	WAL-MART PHARMACY 10-1815	4080 W SHAW AVE		FRESNO	CA	93722	10/01/2018
CH091100	WAL-MART PHARMACY 10-1882	3400 FLORAL AVE		SELMA	CA	93662	10/01/2021
CH091100	WAL-MART PHARMACY 10-2277	323 WEST SHAW AVE		CLOVIS	CA	93612	10/01/2018
CH091100	WAL-MART PHARMACY 10-5337	1185 HERNDON AVE		CLOVIS	CA	93611	10/01/2018
CH091100	WAL-MART PHARMACY 10-5394	770 WEST EL MONTE WAY		DINUBA	CA	93618	10/01/2021
CH091100	WAL-MART PHARMACY 10-5633	1830 SHAW AVE		CLOVIS	CA	93611	10/01/2021
CH091100	WAL-MART PHARMACY 10-5701	14061 W WHITESBRIDGE AVE		KERMAN	CA	93630	07/01/2017
CH091100	WAL-MART PHARMACY 10-5997	9600 PARKSOUTH CT. SUITE 100		ORLANDO	FL	32837	07/01/2017
CH091100	WALGREEN CO	DBA: WALGREENS #10335	2424 N BRAWLEY AVE	FRESNO	CA	93722	07/01/2017
CH091100	WALGREEN CO.	DBA: WALGREENS # 07830	205 W SHAW AVENUE	CLOVIS	CA	93612-3602	07/01/2017
CH091100	WALGREEN CO.	DBA: WALGREENS #11877	4771 W ASHLAN AVE	FRESNO	CA	93722	07/01/2017
CH091100	WALGREEN CO.	DBA: WALGREENS # 09815	988 SIERRA STREET	KINGSBURG	CA	93631	07/01/2017
CH09110J	WALGREEN CO.	DBA: WALGREENS #12298	852 E MANNING AVE	REEDLEY	CA	93654	01/01/2019	10/12/2018
CH09110J	WALGREEN CO.	DBA: WALGREENS # 10201	170 W EL MONTE WAY	DINUBA	CA	93618-1561	01/01/2019	10/12/2018
CH091100	WALGREEN CO.	DBA: WALGREENS #12298	852 E MANNING AVE	REEDLEY	CA	93654	01/01/2019	03/25/2025
CH091100	WALGREEN CO.	DBA: WALGREENS # 10201	170 W EL MONTE WAY	DINUBA	CA	93618-1561	01/01/2019	03/19/2025
CH091100	WALGREEN CO.	DBA: WALGREENS # 10334	1790 SHAW AVE	CLOVIS	CA	93611	04/01/2022
CH091100	WALGREEN CO.	DBA: WALGREENS #12337	2795 FLORAL AVE	SELMA	CA	93662-2603	04/01/2022
CH091100	WALGREEN CO.	DBA: WALGREENS #11407	3010 N DEMAREE ST	VISALIA	CA	93291-7147	07/01/2025
CH091100	WALGREENS SPECIALTY PHARMACY, LLC	DBA WALGREENS SPECIALTY PHARMACY #16287	130 ENTERPRISE DR	PITTSBURGH	PA	15275	07/01/2022
CH091100	WALGREENS SPECIALTY PHARMACY, LLC	DBA WALGREENS SPECIALTY PHARMACY #15438	41460 HAGGERTY CIR S	CANTON	MI	48188	07/01/2022
CH091100	WALGREENS SPECIALTY PHARMACY, LLC	DBA WALGREENS SPECIALTY PHARMACY #15443	10530 JOHN W ELLIOTT DR STE 100	FRISCO	TX	75033	07/01/2022
CH091100	WALMART PHARMACY 10-5169	2252 NORTH 8TH STREET	SUITE A	ROGERS	AR	72756	07/01/2023
CH091100	Walmart Pharmacy 10-7611	2501 Perry Rd		Plainfield	IN	46168	07/01/2024
CH091100	WESTERN PHARMACY GROUP LLC	DBA COMMUNITY MEDICAL CENTER PHARMACY	610 GATEWAY CENTER WAY SUITES A--E	SAN DIEGO	CA	92102	07/01/2019
CH091100	WESTSIDE DRUG COMPANY	1101 O ST		FIREBAUGH	CA	93622-2224	01/01/2020

History

Section	Field	Action	Activity	Value Before	Value After	Timestamp
Contacts	Signed By	Insert	New Registration		Griffin, Soyla Chief Executive Officer Valley Health Team, Inc 5596932462-2943	5/6/2025 1:47 PM
Details	340B ID	Update	New Registration		CH09110P	5/6/2025 1:47 PM
Dates	Participating Approval Date	Update	New Registration		5/6/2025 1:47:40 PM	5/6/2025 1:47 PM
Details	State	Update	New Registration	Pending	Approved	5/6/2025 1:47 PM
Dates	Signed By Date	Update	New Registration		4/11/2025 3:21:27 PM	5/6/2025 1:47 PM
Dates	Start Date	Update	New Registration		7/1/2025 12:00:00 AM	5/6/2025 1:47 PM
Medicaid Billing	NPI: Number	Insert	New Registration		1780370510	4/11/2025 3:21 PM
Medicaid Billing	NPI: State	Insert	New Registration		CA	4/11/2025 3:21 PM
Addresses	Main Address	Insert	New Registration		490 W Kamm Avenue, Room H102 Dinuba, CA 93618-9756	4/11/2025 1:32 PM
Addresses	Billing Address	Insert	New Registration		Valley Health Team, Inc. P.O. BOX 737 San Joaquin, CA 93660	4/11/2025 1:32 PM
Contacts	Authorizing Official	Insert	New Registration		Griffin, Soyla Chief Executive Officer Valley Health Team, Inc 5596932462-2943	4/11/2025 1:32 PM
Contacts	Primary Contact	Insert	New Registration		Tjandra, Petrus Vice President of Special Projects and Facilities Valley Health Team, Inc. 5593642958	4/11/2025 1:32 PM
Details	Assistance Received From Date	Insert	New Registration			4/11/2025 1:32 PM
Details	Assistance Received To Date	Insert	New Registration			4/11/2025 1:32 PM
Details	Last Recertification Date	Insert	New Registration			4/11/2025 1:32 PM
Details	Grant Number	Insert	New Registration		H80CS00525	4/11/2025 1:32 PM
Details	340B ID	Insert	New Registration			4/11/2025 1:32 PM
Details	Is Authorizing Official EHB Data	Insert	New Registration			4/11/2025 1:32 PM
Dates	Last Date That 340B Drugs Purchased	Insert	New Registration			4/11/2025 1:32 PM
Details	Medicare Provider Number	Insert	New Registration			4/11/2025 1:32 PM
Details	Entity Name	Insert	New Registration		VALLEY HEALTH TEAM, INC.	4/11/2025 1:32 PM
Details	NOFO Number	Insert	New Registration			4/11/2025 1:32 PM
Details	Program Code	Insert	New Registration		CH	4/11/2025 1:32 PM
Details	Entity Subname	Insert	New Registration		Dinuba Unified School District Behavioral Health Center	4/11/2025 1:32 PM
Dates	Participating Approval Date	Insert	New Registration			4/11/2025 1:32 PM
Details	State	Insert	New Registration		Pending	4/11/2025 1:32 PM
Dates	Registration Date	Insert	New Registration		4/11/2025 1:32:53 PM	4/11/2025 1:32 PM
Dates	Signed By Date	Insert	New Registration			4/11/2025 1:32 PM
Dates	Start Date	Insert	New Registration			4/11/2025 1:32 PM
Terminations	Termination Comments	Insert	New Registration			4/11/2025 1:32 PM
Terminations	Termination Date	Insert	New Registration			4/11/2025 1:32 PM
Terminations	Termination Effective Date	Insert	New Registration			4/11/2025 1:32 PM
Terminations	Termination Reason	Insert	New Registration			4/11/2025 1:32 PM

340B Drug Pricing Program Database